Provider Demographics
NPI:1982788923
Name:CHAPITAL, EMMETT BERNARD JR (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:BERNARD
Last Name:CHAPITAL
Suffix:JR
Gender:M
Credentials:MD, MBA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1221 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3302
Mailing Address - Country:US
Mailing Address - Phone:504-482-9755
Mailing Address - Fax:504-482-9844
Practice Address - Street 1:1221 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3302
Practice Address - Country:US
Practice Address - Phone:504-482-9755
Practice Address - Fax:504-482-9844
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA014623207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB60417Medicare UPIN