Provider Demographics
NPI:1861767147
Name:JANOT, ADAM CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CRAIG
Last Name:JANOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7698 GOODWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7622
Mailing Address - Country:US
Mailing Address - Phone:225-927-8141
Mailing Address - Fax:225-361-0336
Practice Address - Street 1:7698 GOODWOOD BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-927-8141
Practice Address - Fax:225-927-3024
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA307909207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA307909OtherMEDICAL LICENSE