Whalio Doctors

NPI 1154314904

Juan M Fukuda, MD

Practitioner Specialist Lafayette, LA

Practice location

Address
4600 Ambassador Caffery Pkwy Pediatric Emergency Medicine, Lafayette, LA 70508-6902
Phone
(337) 521-9027
Fax
(337) 521-9164

Registered specialties (3)

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 14374R (LA)
Pediatric Emergency Medicine (Pediatrics) Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0204X Licence 14374R (LA)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 14374R (LA)

Registry record

NPI
1154314904
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Aug 2005
Record last updated
4 Feb 2011

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.