Whalio Doctors

NPI 1063671956

Michael Benjamin Defatta, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician New Orleans, LA

Practice location

Address
1901 Perdido St, New Orleans, LA 70112-1393
Phone
(504) 568-6031

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 021226 (LA)

Registry record

NPI
1063671956
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jun 2008
Record last updated
5 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.