Provider Demographics
NPI:1386743326
Name:GAUDET, PAUL T (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:GAUDET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:604 NORTH ACADIA STE 101
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4897
Mailing Address - Country:US
Mailing Address - Phone:985-446-5079
Mailing Address - Fax:985-447-2497
Practice Address - Street 1:604 N. ACADIA STE 101
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-4897
Practice Address - Country:US
Practice Address - Phone:985-446-5079
Practice Address - Fax:985-447-2497
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2016-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA010909207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1160458Medicaid
LA5J3486746Medicare ID - Type UnspecifiedPHYSICIAN MEDICARE NUMBER
LA1160458Medicaid