Provider Demographics
NPI:1750341863
Name:CORSETTI, RALPH LARRY (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:LARRY
Last Name:CORSETTI
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:10013 SAUVE OAK LN
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-1573
Mailing Address - Country:US
Mailing Address - Phone:504-352-8013
Mailing Address - Fax:
Practice Address - Street 1:101 JUDGE TANNER BLVD STE 404
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7505
Practice Address - Country:US
Practice Address - Phone:985-867-4223
Practice Address - Fax:985-867-4229
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.09544R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F93566Medicare UPIN