Individual
CARMEN L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3470
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
310909
LA
2085R0202X
Diagnostic Radiology Physician
D0063864
MD
2085R0202X
Diagnostic Radiology Physician
MD035722
DC
2085R0202X
Diagnostic Radiology Physician
MD433679
PA
2085R0202X
Diagnostic Radiology Physician
ME110298
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023801800001
—
PA
Enumeration date
07/18/2006
Last updated
12/19/2018
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