Provider Demographics
NPI:1053318055
Name:NESSER, CLAUDE T (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:T
Last Name:NESSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16070 DOCTORS BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-1478
Mailing Address - Country:US
Mailing Address - Phone:985-542-5972
Mailing Address - Fax:985-318-3417
Practice Address - Street 1:16070 DOCTORS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1478
Practice Address - Country:US
Practice Address - Phone:985-542-5972
Practice Address - Fax:985-318-3417
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA015718207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1309915Medicaid
LA5M626Medicare ID - Type Unspecified
LA1309915Medicaid