Bazan, Hernan Antonio

Bazan, Hernan Antonio is an individual health care provider with primary practice located at 1514 Jefferson Highway 8Th Floor-Clinic, New Orleans LA 07012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Bazan, Hernan Antonio can be contacted via phone (504) 842-4053.

Contact Information

Primary practice address
1514 Jefferson Highway 8Th Floor-Clinic New Orleans LA 07012
Phone: (504) 842-4053
Fax: (504) 842-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 044485 Connecticut
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 201525 Louisiana

Profile Details

NPI number 1073714358
LBN Legal business name Bazan, Hernan Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073714358 NPPES
Connecticut Other 044485 LICENSE
Connecticut MEDICAID 01078003 LICENSE
Connecticut MEDICAID 1014630 LICENSE

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