Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 2085R0001X | Radiology | Radiation Oncology | 14027R | LOUISIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1180131 | MEDICAID | LOUISIANA | |
| 2 | 14027R | OTHER | LOUISIANA | STATE MEDICAL LICENSE |
| 3 | PTAN 330560ZLAC | OTHER | LOUISIANA | LINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14 |
| 4 | G85606 | MEDICARE UPIN | LOUISIANA | |
| 5 | 4A144DX68 | OTHER | LOUISIANA | JULIAN KRAWCZYK MEDICARE PTAN EFFECTIVE 05/19/2012 |
| 6 | 4A144DB49 | MEDICARE PIN | LOUISIANA | |
| 7 | 5DX68 | OTHER | LOUISIANA | ONCOLOGICS LLC MEDICARE PTAN EFFECTIVE 05/19/2012 |