Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 19828 | MS |
Y | 207K00000X | Allergist & Immunologist | 320359 | LA |
N | 2080P0201X | Pediatric Allergist | 19828 | MS |
NPI | 1861447310 |
---|---|
Provider Name | Dr. Jo Shani Reed |
First Address | New Orleans, LA 70121-2429 |
Second Address | Baton Rouge, LA 70836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 01/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q017941 | (05) | TN |