Dimitri Dermatology

LBN: E. M. Dimitri, D.O. Pmc
Dimitri Dermatology is an health care organization with primary practice located at 2104 Gause Blvd W Suite A, Slidell LA 70460-4130. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. E. M. Dimitri, D.O. Pmc can be contacted via phone (985) 643-4575, or through Drake, Karen R via phone (504) 229-7451.

Contact Information

Primary practice address
2104 Gause Blvd W Suite A Slidell LA 70460-4130
Phone: (985) 643-4575
Fax: (985) 643-4513
Website:
Map and Directions
Authorized official contact:
Name: Drake, Karen R
Phone: (504) 229-7451

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 14885R Louisiana

Profile Details

NPI number 1821285974
LBN Legal business name E. M. Dimitri, D.O. Pmc
DBA Doing business as Dimitri Dermatology
Authorized official Drake, Karen R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2007
Last updated Jan 31st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821285974 NPPES
Mississippi MEDICAID 07454201
Mississippi MEDICAID 2109511

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