Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD018289 | LA |
NPI | 1225127509 |
---|---|
Provider Name | Dr. Elisabeth H Rareshide |
First Address | New Orleans, LA 70115-6969 |
Second Address | New Orleans, LA 70115-6969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040014320 | RAILROAD MEDICARE NUMBER (01) | LA |
1366234 | (05) | LA |
B64177 | (02) | LA |