Provider Demographics
NPI:1134209331
Name:PERDIGAO, HEITOR GUNTHER (MD)
Entity type:Individual
Prefix:DR
First Name:HEITOR
Middle Name:GUNTHER
Last Name:PERDIGAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:H
Other - Middle Name:GUNTHER
Other - Last Name:PERDIGAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1424 AMELIA STREET
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3618
Mailing Address - Country:US
Mailing Address - Phone:504-895-7841
Mailing Address - Fax:504-895-7841
Practice Address - Street 1:1424 AMELIA STREET
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3618
Practice Address - Country:US
Practice Address - Phone:504-895-7841
Practice Address - Fax:504-895-7841
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0081442084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry