Bautista, Maria Imelda

Bautista, Maria Imelda is an individual health care provider with primary practice located at 1303 Henry Clay Avenue Neonatal Medical Group, New Orleans LA 70118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Bautista, Maria Imelda can be contacted via phone (504) 896-2229.

Contact Information

Primary practice address
1303 Henry Clay Avenue Neonatal Medical Group New Orleans LA 70118
Phone: (504) 896-2229
Fax: (504) 896-8835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 07109R Louisiana

Profile Details

NPI number 1073676458
LBN Legal business name Bautista, Maria Imelda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073676458 NPPES
Louisiana MEDICAID 1361852

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