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Juan Medaura, MD
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1114217189

Juan Medaura is a Student in an Organized Health Care Education/Training Program based in New Orleans, LA. Juan Medaura practices in New Orleans, LA and has the professional credentials of MD. The NPI Number for Juan Medaura is 1114217189 and holds a License No. 330645 (Louisiana).

The current practice location address for Juan Medaura is 3525 Prytania St Ste 402, New Orleans, LA and can be reached out via phone at 504-648-2520 and via fax at 504-897-2939.

Location: 3525 Prytania St Ste 402, New Orleans, LA, 70115-3678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114217189
Provider Name
Juan Medaura
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3525 Prytania St Ste 402, New Orleans, LA, 70115-3678
Phone Number
504-648-2520
Fax Number
504-897-2939
Provider Enumeration Date
04/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2582445 05 LA
P01788687 01 MS RAILROAD MEDICARE
07624070 05 MS
institution
Provider Business Practice Location Address Details
Address
3525 Prytania St Ste 402
City
New Orleans
State
Louisiana
Zip
70115-3585
Phone Number
504-648-2520
Fax Number
504-897-2939
person
Provider Business Mailing Address Details
Address
3525 Prytania St Ste 402
City
New Orleans
State
Louisiana
Zip
70115-3585
Phone Number
504-648-2520
Fax Number
504-897-2939
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
24487 (Mississippi)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
330645 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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