Individual
DR. SUSAN F OVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
728 W 11TH AVE, COVINGTON, LA 70433-2318
(225) 765-5777
(225) 765-6642
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 730-7195
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23081
LA
208000000X
Pediatrics Physician
23081
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08687793
—
MS
05
—
1491110
—
LA
01
—
P00148566
MEDICARE RAILROAD ID
LA
Enumeration date
08/08/2006
Last updated
01/28/2022
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