Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD.200959 | LA |
N | 207RI0200X | Infectious Disease | MD.29511 | AL |
NPI | 1023209053 |
---|---|
Provider Name | Tatiana Carolina Saavedra |
First Address | Baton Rouge, LA 70808-4373 |
Second Address | Baton Rouge, LA 70808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 29/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1090514 | (05) | LA |
RES000 | (02) | LA |