Provider Demographics
NPI:1679754071
Name:MEYN, MADELYN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:MADELYN
Middle Name:MARIE
Last Name:MEYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3938 PIEDMONT DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-4828
Mailing Address - Country:US
Mailing Address - Phone:504-309-8997
Mailing Address - Fax:504-309-8997
Practice Address - Street 1:1515 POYDRAS STREET, SUITE 1070
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112
Practice Address - Country:US
Practice Address - Phone:504-524-1210
Practice Address - Fax:504-524-1210
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2011-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.201341208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA121-6038Medicaid