Basic Information
Provider Information
NPI: 1760913966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BYRNE
FirstName: ABIGAIL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1430 TULANE AVE
Address2: # 8512
City: NEW ORLEANS
State: LA
PostalCode: 701122632
CountryCode: US
TelephoneNumber: 5049887802
FaxNumber: 5049887802
Practice Location
Address1: 1430 TULANE AVE
Address2: SL 50
City: NEW ORLEANS
State: LA
PostalCode: 701122632
CountryCode: US
TelephoneNumber: 5049887890
FaxNumber: 5049883971
Other Information
ProviderEnumerationDate: 03/21/2017
LastUpdateDate: 08/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208M00000X322312LAY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X322312LAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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