Robert, Agrippa Gayden

Robert, Agrippa Gayden is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Robert, Agrippa Gayden can be contacted via phone (985) 230-1682.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hammond LA 70403-1434
Phone: (985) 230-1682
Fax: (985) 230-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.016278 Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.016278 Louisiana

Profile Details

NPI number 1720010606
LBN Legal business name Robert, Agrippa Gayden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 25th, 2017 - about 9 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 1720010606 NPPES
Other 370008389 RR MEDICARE
MEDICAID 00052293 RR MEDICARE
MEDICAID 1341754 RR MEDICARE

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