Individual
DR. SHONTELL NAKISHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 WEST ESPLANADE AVENUE, KENNER, LA 70065-2467
(504) 842-9206
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
002713
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204534
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06937091
—
MS
05
—
2156551
—
LA
Enumeration date
01/21/2008
Last updated
11/03/2011
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