Provider Demographics
NPI:1427078898
Name:LABADIE, PABLO J (MD)
Entity type:Individual
Prefix:
First Name:PABLO
Middle Name:J
Last Name:LABADIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL CENTER BLVD
Mailing Address - Street 2:S-650
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072
Mailing Address - Country:US
Mailing Address - Phone:504-934-8100
Mailing Address - Fax:504-934-8102
Practice Address - Street 1:1111 MEDICAL CENTER BLVD
Practice Address - Street 2:S-650
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072
Practice Address - Country:US
Practice Address - Phone:504-934-8100
Practice Address - Fax:504-934-8102
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2014-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA09416R208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1480355Medicaid
LA1480355Medicaid
P00345374Medicare PIN