Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD.201545 | LA |
NPI | 1407891963 |
---|---|
Provider Name | Vinitha R Shenava |
First Address | New Orleans, LA 70112-2272 |
Second Address | New Orleans, LA 70118-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 14/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
105201 | BCBS (01) | KS |
12393856 | MULTIPLAN (01) | KS |
14824 | PHS (01) | KS |
200354150A | (05) | KS |
205235 | HPK (01) | KS |
254938 | COVENTRY (01) | KS |
I42903 | (02) |