Provider Demographics
NPI:1053363515
Name:RODRIGUEZ, EDUARDO E (MD)
Entity type:Individual
Prefix:
First Name:EDUARDO
Middle Name:E
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:STE 110
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3547
Mailing Address - Country:US
Mailing Address - Phone:504-648-2510
Mailing Address - Fax:504-897-2064
Practice Address - Street 1:3525 PRYTANIA ST.
Practice Address - Street 2:SUITE 526
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3585
Practice Address - Country:US
Practice Address - Phone:504-648-2510
Practice Address - Fax:504-897-2064
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2020-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA04594R207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1199982Medicaid
5K773Medicare PIN
LA1199982Medicaid