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Contact Information

CHAD M DOMANGUE, MD
76 STARBRUSH CIR
COVINGTON, LA70433-7208
 Phone: 985-801-0581
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for CHAD M DOMANGUE · (Male)

NPI # 1629286646
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2007
Last updated 03/05/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # TP-366
  • LA License # 202018
Hospital affiliation(s)
  • CYPRESS POINTE SURGICAL HOSPITAL - (Acute Care)
    42570 SOUTH AIRPORT RD
    HAMMOND, LA 70403
  • FAIRWAY MEDICAL CENTER - (Acute Care)
    67252 INDUSTRY LANE
    COVINGTON, LA 70433
  • NORTH OAKS MEDICAL CENTER LLC - (Acute Care)
    15790 PAUL VEGA MD DRIVE
    HAMMOND, LA 70403
  • ST TAMMANY PARISH HOSPITAL - (Acute Care)
    1202 S TYLER STREET
    COVINGTON, LA 70433
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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