Provider Demographics
NPI:1306887369
Name:HASTINGS, DAVID NEAL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NEAL
Last Name:HASTINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 BLUEBONNET BLVD
Mailing Address - Street 2:STE 3000
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-7827
Mailing Address - Country:US
Mailing Address - Phone:225-766-8100
Mailing Address - Fax:225-769-5596
Practice Address - Street 1:8080 BLUEBONNET BLVD
Practice Address - Street 2:STE 3000
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-7827
Practice Address - Country:US
Practice Address - Phone:225-766-8100
Practice Address - Fax:225-769-5596
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016335208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1345695Medicaid
B61492Medicare UPIN
5L805Medicare ID - Type Unspecified