NPI 1063947794

Devan Blaine Moody, MD

Practitioner Diagnostic Radiology Physician Baton Rouge, LA

Practice location

Address: 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375
Phone: (225) 765-6565
Mailing address: 8230 Summa Ave STE C, Baton Rouge, LA 70809-3465

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 333318 (LA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063947794
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2017
Record last updated: 25 Sep 2023

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.