Individual
DR. JOANN MODUPE BOLUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 703-0832
(504) 736-4623
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2483
(504) 842-3000
(504) 842-5781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q5763
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
348591
LA
208D00000X
General Practice Physician
Q5763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365574801
—
TX
Enumeration date
10/07/2009
Last updated
01/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us