Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37330 | AZ |
N | 111NI0900X | Internist | 37330 | AZ |
N | 207R00000X | Internist | MD.202708 | LA |
N | 111NI0900X | Internist | MD.202708 | LA |
Y | 207RH0003X | Hematology & Oncology | 202708 | LA |
NPI | 1013980853 |
---|---|
Provider Name | Dr. Ashish Udhrain |
First Address | Metairie, LA 70006-2903 |
Second Address | Metairie, LA 70006-2903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 05/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1067822 | (05) | LA |
252480 | (05) | AZ |