Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 35-082660 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | A109428 | CA |
NPI | 1326077173 |
---|---|
Provider Name | Angelle D Labeaud |
First Address | Palo Alto, CA 94304-1601 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 09/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221433 | UNISON (01) | OH |
000000301708 | ANTHEM (01) | OH |
000000526039 | ANTHEM (01) | OH |
1011218090001 | PA MEDICAID (01) | PA |
2502438 | (05) | OH |
2502438 | BCMH (01) | OH |
363730 | WELLCARE (01) | OH |
7233496 | AETNA (01) | OH |
745932 | BUCKEYE (01) | OH |
9200336 | UNITED HEALTHCARE (01) | OH |
H96294 | (02) | OH |