National Provider Identifier Database

FIDENCIO H DAVALOS, MD – NPI #1265872725
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

FIDENCIO H DAVALOS, MD
2770 3RD AVE STE 350
LAKE CHARLES, LA70601-0404
Phone: 337-494-2750
Fax: 337-494-2760
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for FIDENCIO H DAVALOS

NPI Number 1265872725
Credentials MD
Entity Individual
Enumeration date 06/28/2013
Last updated 03/16/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: 322076
  • NM License #: MD2017-0687
  • NY License #: 287474
  • LA Medicaid: 2528696
  • LA Other: MD.322076 STATE MEDICAL LICENSE
Hospital affiliation n/a

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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