Basic Information
Provider Information
NPI: 1245252014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEUMANN
FirstName: DUANE
MiddleName: EDWARD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1340 POYDRAS ST
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701121221
CountryCode: US
TelephoneNumber: 5044121860
FaxNumber:  
Practice Location
Address1: MATERNAL FETAL MEDICINE OF ACADIANA
Address2: 105 CORPORATE BLVD
City: LAFAYETTE
State: LA
PostalCode: 705083850
CountryCode: US
TelephoneNumber: 3375939099
FaxNumber: 3377698509
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 12/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X17727LAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207VM0101X017727LAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

ID Information
IDTypeStateIssuerDescription
139924805LA MEDICAID


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