Fortgang, Ilana S.

Fortgang, Ilana S. is an individual health care provider with primary practice located at 1111 Medical Center Blvd. Suite S-450, Marrero LA 70072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Fortgang, Ilana S. can be contacted via phone (504) 349-6401.

Contact Information

Primary practice address
1111 Medical Center Blvd. Suite S-450 Marrero LA 70072
Phone: (504) 349-6401
Fax: (504) 349-6444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 023358 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X MD.023358 Louisiana

Profile Details

NPI number 1689721573
LBN Legal business name Fortgang, Ilana S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 13th, 2016 - about 10 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 1689721573 NPPES
Louisiana MEDICAID 1499617

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