Martin Joseph Degravelle
M.D. | Pediatrics | Male
Martin Joseph Degravelle, M.D. is a New Iberia, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Martin Joseph Degravelle is
2308 E Main St, New Iberia, Louisiana - 70560-4032. He can be contacted on phone at
337-560-5005 and fax number 337-560-9757.
Martin Joseph Degravelle is a sole proprietor of his business.
NPI number (Unique professional ID) for Martin Joseph Degravelle is
1700826500 which was assigned by NPPES on 08 Jun, 2006 and it was last updated on 08 Jul, 2007.
Martin Joseph Degravelle license number is
MD011998 for Pediatrics (208000000X) in Louisiana.
Martin Joseph Degravelle 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:
Martin Joseph Degravelle basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Martin Joseph Degravelle |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Martin Joseph Degravelle 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 : | 2308 E Main St
New Iberia, LA, 70560-4032
United States |
|---|
| Phone Number : | 337-560-5005 |
|---|
| Fax Number : | 337-560-9757 |
|---|
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 : | 1700826500 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Jun, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
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 Martin Joseph Degravelle are as mentioned. Primary taxonomy code for Martin Joseph Degravelle, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD011998 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Martin Joseph Degravelle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5052399 | Other | LA | AETNA |
| 1147303 | 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 : | 2308 E Main St
New Iberia, LA, 70560-4032
United States |
|---|
| Phone Number : | 337-560-5005 |
|---|
| Fax Number : | 337-560-9757 |
|---|
Business Location:
Patients can refer following map for directions to
Martin Joseph Degravelle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.