Kevin Michael Sullivan, MD | |
2021 Perdido St Fl 8, New Orleans, LA 70112-1352 | |
(504) 568-4750 | |
(504) 568-2202 |
Full Name | Kevin Michael Sullivan |
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Gender | Male |
Speciality | Surgery - Surgical Oncology |
Location | 2021 Perdido St Fl 8, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306264890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086X0206X | Surgery - Surgical Oncology | 340298 (Louisiana) | Primary |
208600000X | Surgery | A171748 (California) | Secondary |
208600000X | Surgery | ML60475569 (Washington) | Secondary |
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
Mailing Address | Practice Location Address |
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Kevin Michael Sullivan, MD 2021 Perdido St Fl 8, New Orleans, LA 70112-1352 Ph: (504) 568-4750 | Kevin Michael Sullivan, MD 2021 Perdido St Fl 8, New Orleans, LA 70112-1352 Ph: (504) 568-4750 |
Danielle M Pickham, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3000 | |
Dr. Carlos Galvani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1415 Tulane Ave, New Orleans, LA 70112 Phone: 504-988-6855 | |
Amanda Tullos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1430 Tulane Ave Rm 734, New Orleans, LA 70112 Phone: 501-920-4647 | |
David S Bruce, M. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, New Orleans, LA 70121 Phone: 504-842-4000 | |
Dr. Robert M. Arensman, MD Surgery Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Hernan Antonio Bazan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Highway, 8th Floor-clinic, New Orleans, LA 07012 Phone: 504-842-4053 Fax: 504-842-5017 | |
Kiara Tulla, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1430 Tulane Ave # 8622, New Orleans, LA 70112 Phone: 504-988-2306 |