Moody, Andrew Joseph
Moody, Andrew Joseph is an individual health care provider with primary practice located at 1514 Jefferson Hwy Bh 634, New Orleans LA 70121-2429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Moody, Andrew Joseph can be contacted via phone (504) 842-4096.Contact Information
Primary practice address
1514 Jefferson Hwy Bh 634
New Orleans LA 70121-2429
Phone: (504) 842-4096
Fax: (504) 842-3193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.203946 | Louisiana |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD.203946 | Louisiana |
Profile Details
NPI number | 1164612537 |
---|---|
LBN Legal business name | Moody, Andrew Joseph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2007 |
Last updated | Dec 15th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164612537 | NPPES |
Mississippi | MEDICAID | 03280068 | |
Mississippi | MEDICAID | 1000884 |
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