Provider Demographics
NPI:1972865574
Name:POLLET, MARK STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:STEPHEN
Last Name:POLLET
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5231 BRITTANY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-9100
Mailing Address - Country:US
Mailing Address - Phone:225-769-0933
Mailing Address - Fax:225-769-6255
Practice Address - Street 1:8888 SUMMA AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3772
Practice Address - Country:US
Practice Address - Phone:225-769-0933
Practice Address - Fax:225-214-0088
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2025-01-27
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Provider Licenses
StateLicense IDTaxonomies
LA322475207RC0000X, 207RC0001X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease