Provider Demographics
NPI:1770550808
Name:SOLET, DARRELL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:JAMES
Last Name:SOLET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4176
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-4176
Mailing Address - Country:US
Mailing Address - Phone:985-876-0300
Mailing Address - Fax:985-876-5529
Practice Address - Street 1:1231 DAVID DR
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1321
Practice Address - Country:US
Practice Address - Phone:985-385-6390
Practice Address - Fax:985-385-6393
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.199924.R207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200496400Medicaid
LA1469921Medicaid
LA4J3686833Medicare PIN
I20387Medicare UPIN
LA4J3686833Medicare PIN