| Doctor Name: | DR. GREGORY AARON RACZNIAK |
| NPI Number: | 1861460636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PH.D., M.PHIL |
| License Number: | 0101238610 |
| Business Practice Address: | 1450 Poydras St New Orleans, LA - 701121227 |
| Business Phone Number: | 5045688290 |
| Business Fax Number: | |
| Mailing Address: | 1450 Poydras St, NEW ORLEANS |
| State: | LA |
| Postal Code: | 701121227 |
| Phone Number: | 5045688290 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2006 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101238610 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |