Individual
CASSANDRA KOID JIA SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB BCH BAO
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5798
(504) 899-9511
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
338503
LA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
338503
LA
Other
Enumeration date
04/04/2017
Last updated
09/20/2023
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