| Doctor Name: | DR. JEAN-VICTOR BONNAIG |
| NPI Number: | 1710240775 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 206634 |
| Business Practice Address: | 1430 Tulane Ave New Orleans, LA - 701122632 |
| Business Phone Number: | 5042683841 |
| Business Fax Number: | |
| Mailing Address: | 201 Saint Charles Ave, Suite 114-361 NEW ORLEANS |
| State: | LA |
| Postal Code: | 701701000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2012 |
| NPI Last Update Date: | 11/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 206634 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |