Individual provider · Type 1 NPI
Jake Adam Fontenot, MD
Diagnostic Radiology Physician · New Orleans, LA
NPI number
1235715772
Active
Practice location
2000 Canal St
New Orleans, LA 70112-3018
Mailing address
1542 Tulane Ave # T4M2
New Orleans, LA 70112-2865
Other practice locations
- 1542 Tulane Ave # T4M2, New Orleans, LA 70112-2865 · (504) 568-5600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 350538 (LA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1235715772
Jake Adam Fontenot, MD's National Provider Identifier is 1235715772, issued on Mar 23, 2021. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New Orleans, LA. The record was last updated on Jul 1, 2026.