Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD026439 | LA |
N | 207R00000X | Internist | 026439 | LA |
N | 111NI0900X | Internist | 026439 | LA |
N | 208000000X | Pediatrician | 026439 | LA |
Y | 2080P0201X | Pediatric Allergist | 026439 | LA |
NPI | 1205026770 |
---|---|
Provider Name | Dr. Sandhya Devi Mani |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70809-3481 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 22/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1065439 | (05) | LA |