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Contact Information

KEITH E CANGELOSI, MD
604 W 13TH AVE
COVINGTON, LA70433-3308
 Phone: 985-871-0070
 Fax: 985-871-0046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEITH E CANGELOSI · (Male)

NPI # 1609865732
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2005
Last updated 05/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 017231
  • LA Medicaid 1366048
  • LA Other P00314748 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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