Individual
DR. MARIA TERESA EVANGELISTA-DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200495
LA
208M00000X
Hospitalist Physician
200495
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07704898
—
MS
05
—
1782645
—
LA
Enumeration date
12/22/2005
Last updated
09/09/2021
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