| Doctor Name: | PAUL A.R. IKEMIRE |
| NPI Number: | 1477870210 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD.205087 |
| Business Practice Address: | 1430 Tulane Ave Room 8558 New Orleans, LA - 701122632 |
| Business Phone Number: | 5049882306 |
| Business Fax Number: | 5049881882 |
| Mailing Address: | 1631 Valmont St, Room 8558 NEW ORLEANS |
| State: | LA |
| Postal Code: | 701154944 |
| Phone Number: | 5047173050 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2010 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD.205087 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |