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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIMITRI NICHOLAS PAGOULATO, PAC

Active

DIMITRI NICHOLAS PAGOULATO, PAC is a Physician Assistant healthcare provider located in BAKER, Louisiana. NPI 1194988915 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BAKER, LA

Registration Details

NPI Number
1194988915
Provider Type
Individual
Gender
Male
NPI Issued
Jul 2, 2008 (18.076419783342 yrs)
Last Updated
Mar 14, 2025
License
200193 (LA)

Practice Information

Address
6516 E MYRTLE AVE
BAKER, LA, 707144348
Browse LA providers · Browse ZIP 70714
Phone
2257747320
Fax
2257745432
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BAKER, LA

Name Credential NPI
ALICE CATHERINE POWELL P. A. 1386694560
BALLARD JACKSON MANN P.A. 1942580048
THIKRA MUHSIN 1578274536
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.