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Contact Information

ILANA S FORTGANG, MD
1111 MEDICAL CENTER BLVD.
SUITE S-450
MARRERO, LA70072
 Phone: 504-349-6401
 Fax: 504-349-6444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ILANA S FORTGANG · (Female)

NPI # 1689721573
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 06/13/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 023358
  • LA License # MD.023358
  • LA Medicaid 1499617
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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