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Contact Information

DUANE W SUPERNEAU, MD
8415 GOODWOOD BLVD
SUITE 202 B
BATON ROUGE, LA70806-7851
 Phone: 225-765-8988
 Fax: 225-765-1173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DUANE W SUPERNEAU · (Male)

NPI # 1427018274
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 04/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 14531
  • LA License # MD.014531
  • LA License # MD014531
  • LA Medicaid 1907421
  • MS Medicaid 00119789
Hospital affiliation(s)
  • WOMAN'S HOSPITAL - (Acute Care)
    100 WOMAN'S WAY
    BATON ROUGE, LA 70817
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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