Provider Demographics
NPI:1730378340
Name:PALMIANO, ALBERTO M (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:M
Last Name:PALMIANO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2312 E MAIN ST
Mailing Address - Street 2:STE B
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4064
Mailing Address - Country:US
Mailing Address - Phone:337-364-0938
Mailing Address - Fax:337-359-9024
Practice Address - Street 1:2312 E MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-4064
Practice Address - Country:US
Practice Address - Phone:337-364-0938
Practice Address - Fax:337-359-9024
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2016-08-31
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Provider Licenses
StateLicense IDTaxonomies
LA09703R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1967084Medicaid
LA1967084Medicaid
LA5R768Medicare PIN