Ilana S. Fortgang
M.D. | Pediatric Gastroenterology | Female
Ilana S. Fortgang, M.D. is a Marrero, Louisiana based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Ilana S. Fortgang is
1111 Medical Center Blvd., Suite S-450, Marrero, Louisiana - 70072. She can be contacted on phone at
504-349-6401 and fax number 504-349-6444.
Ilana S. Fortgang is a sole proprietor of her business.
NPI number (Unique professional ID) for Ilana S. Fortgang is
1689721573 which was assigned by NPPES on 04 Jan, 2007 and it was last updated on 13 Jun, 2016.
Ilana S. Fortgang license number is
MD.023358 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Louisiana.
Ilana S. Fortgang specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Ilana S. Fortgang basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Ilana S. Fortgang |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Ilana S. Fortgang 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 : | 1111 Medical Center Blvd., Suite S-450
Marrero, LA, 70072
United States |
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| Phone Number : | 504-349-6401 |
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| Fax Number : | 504-349-6444 |
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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 : | 1689721573 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2007 |
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| Last Updated On : | 13 Jun, 2016 |
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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 Ilana S. Fortgang are as mentioned. Primary taxonomy code for Ilana S. Fortgang, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 023358 | LA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD.023358 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Ilana S. Fortgang such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1499617 | 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 : | P.o. Box 1520
Marrero, LA, 70073-1520
United States |
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| Phone Number : | 504-349-6423 |
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| Fax Number : | 504-934-8097 |
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Business Location:
Patients can refer following map for directions to
Ilana S. Fortgang practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.