Irra, Theodore A.

Irra, Theodore A. is an sole proprietor health care provider with primary practice located at 3434 Houma Blvd Suite 200, Metairie LA 70006-4200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Irra, Theodore A. can be contacted via phone (504) 458-6061.

Contact Information

Primary practice address
3434 Houma Blvd Suite 200 Metairie LA 70006-4200
Phone: (504) 458-6061
Fax: (504) 866-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11701R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.08928R Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD.08928R Louisiana

Profile Details

NPI number 1104879253
LBN Legal business name Irra, Theodore A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Sep 2nd, 2009 - about 15 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 1104879253 NPPES
Louisiana MEDICAID 1977276

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