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Contact Information

ROBERT DERENBECKER, MD
15813 PAUL VEGA MD DR STE 403
HAMMOND, LA70403-1426
 Phone: 985-230-7350
 Fax: 985-230-7351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT DERENBECKER · (Male)

NPI Number 1962933796
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2017
Last updated 04/28/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # MD.39344
  • LA License # 345182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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