Dr. Deregal Fay Burbank
MD | Pediatrics | Female
Dr. Deregal Fay Burbank, MD is a Gretna, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Deregal Fay Burbank is
120 Meadowcrest St., Suite 245, Gretna, Louisiana - 70056. She can be contacted on phone at
504-391-7690 and fax number 504-391-7625.
Dr. Deregal Fay Burbank is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Deregal Fay Burbank is
1629244132 which was assigned by NPPES on 05 May, 2008 and it was last updated on 31 Jul, 2009.
Dr. Deregal Fay Burbank license number is
016402 for Pediatrics (208000000X) in Louisiana.
Dr. Deregal Fay Burbank is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Deregal Fay Burbank basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Deregal Fay Burbank |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Deregal Fay Burbank address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 120 Meadowcrest St., Suite 245
Gretna, LA, 70056
United States |
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| Phone Number : | 504-391-7690 |
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| Fax Number : | 504-391-7625 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629244132 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 May, 2008 |
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| Last Updated On : | 31 Jul, 2009 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Deregal Fay Burbank are as mentioned. Primary taxonomy code for Dr. Deregal Fay Burbank, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 016402 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Deregal Fay Burbank such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1324230 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 55 Yellowstone Dr
New Orleans, LA, 70131
United States |
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| Phone Number : | 225-270-8370 |
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| Fax Number : | 504-392-0359 |
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Business Location:
Patients can refer following map for directions to
Dr. Deregal Fay Burbank practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.