Provider Demographics
NPI:1912951104
Name:UPTOWN CARDIOLOGY ASSOCIATES LLC
Entity type:Organization
Organization Name:UPTOWN CARDIOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAJA
Authorized Official - Middle Name:W
Authorized Official - Last Name:DHURANDHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-888-1336
Mailing Address - Street 1:PO BOX 73701
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70033-3701
Mailing Address - Country:US
Mailing Address - Phone:504-888-1336
Mailing Address - Fax:504-888-3362
Practice Address - Street 1:1401 FOUCHER ST
Practice Address - Street 2:3RD FLOOR CARDIOLOGY DEPT
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3515
Practice Address - Country:US
Practice Address - Phone:504-897-8453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACJ6154OtherMEDICARE RAILROAD
LA1442739Medicaid
LA1442739Medicaid