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Contact Information

MARK L KANTROW, MD
7777 HENNESSY BLVD STE 501B
BATON ROUGE, LA70808-4300
 Phone: 225-765-1737
 Fax: 225-765-1842
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK L KANTROW · (Male)

NPI # 1093716920
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2005
Last updated 05/26/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # 09411R
  • LA Medicaid 1962783
  • MS Medicaid 00621757
  • LA Other P00020218 RAIL ROAD MEDICARE
Hospital affiliation(s)
  • OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER - (Acute Care)
    5000 HENNESSY BLVD
    BATON ROUGE, LA 70808
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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