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

CRISPIN G. BOLISAY, MD

Active Sole Proprietor

Nephrology · SLIDELL, LA

Registration Details

NPI Number
1316902737
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.073392247243 yrs)
Last Updated
Dec 30, 2008
License
05389R (LA)
Sole Proprietor
Yes

Practice Information

Address
105 MEDICAL CENTER DR
SUITE 304
SLIDELL, LA, 704615544
Browse LA providers · Browse ZIP 70461
Phone
9856460360
Fax
9856460362
Primary Specialty
Nephrology
207RN0300X

Other Nephrology Providers in SLIDELL, LA

Name Credential NPI
DANIEL P TVEIT MD 1942207162
DR. GEORGI A KOVACHEV MD 1942458823
SUMITHA SANTHOSHINI GANJI MD 1215252853
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.