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Contact Information

CARLOS R GIMENEZ, MD
602 N ACADIA RD
THIBODAUX, LA70301
 Phone: 985-447-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CARLOS R GIMENEZ · (Male)

NPI Number 1447227954
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2006
Last updated 06/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 13741R
  • LA Medicaid 1181919
Hospital affiliation(s)
  • TERREBONNE GENERAL MEDICAL CENTER - (Acute Care)
    8166 MAIN STREET
    HOUMA, LA 70360
  • THIBODAUX REGIONAL MEDICAL CENTER - (Acute Care)
    602 N ACADIA ROAD
    THIBODAUX, LA 70301
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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