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ANDRE RAOUL BEZOU, M.D.
NPI 1235269135
Clinic/Center in Mandeville, LA

Active since March 07, 2007
2727 LAKESHORE DR, MANDEVILLE, LA 70448(985) 892-8088 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andre Raoul Bezou, M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE RAOUL BEZOU, M.D. (NPI 1235269135) is a healthcare organization registered as a clinic/center in Mandeville, Louisiana and active in the NPI registry since March 2007. The organization lists Jonelle W Couch, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1235269135
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameANDRE RAOUL BEZOU, M.D.
Location Address2727 LAKESHORE DRMandeville, LA 70448-5629
Mailing Address2727 Lakeshore DrMandeville, LA 70448-5629 · (985) 892-8088
Phone(985) 892-8088
Organization SubpartNo
Authorized OfficialJonelle W CouchBusiness Manager · (504) 887-5555
Enumeration DateMarch 7, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1235269135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in LA · 013197
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2727 LAKESHORE DR, Mandeville, LA 70448
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Other Identifiers 3

Medicaid1161179LA
Medicare ID-Type Unspecified50269LA
Medicare UPINB89323LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Raoul Bezou, M.D.'s NPI number?

The NPI number for Andre Raoul Bezou, M.D. is 1235269135. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Andre Raoul Bezou, M.D. located?

Andre Raoul Bezou, M.D. is located at 2727 Lakeshore Dr, Mandeville, LA 70448. The listed phone number is (985) 892-8088.

What is Andre Raoul Bezou, M.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Andre Raoul Bezou, M.D. was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.