Provider Demographics
NPI:1902069586
Name:CHAPITAL CARDIOLOGY CLINIC L.L.C.
Entity Type:Organization
Organization Name:CHAPITAL CARDIOLOGY CLINIC L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMETT
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:CHAPITAL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:504-482-9755
Mailing Address - Street 1:1221 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-3302
Mailing Address - Country:US
Mailing Address - Phone:504-482-9755
Mailing Address - Fax:504-482-9844
Practice Address - Street 1:1221 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3302
Practice Address - Country:US
Practice Address - Phone:504-482-9755
Practice Address - Fax:504-482-9844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014623261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB60417Medicare UPIN