Whalio Doctors

NPI 1356503833

Michael Maddox, MD

Practitioner Urology Physician Kenner, LA

Practice location

Address
200 W Esplanade Ave Suite 210, Kenner, LA 70065-2489
Phone
(504) 464-8588
Fax
(504) 464-8586
Mailing address
1514 Jefferson Hwy, New Orleans, LA 70121-2483

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD.205949 (LA)

Registry record

NPI
1356503833
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2008
Record last updated
17 Nov 2015

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.