Individual
DR. THEEPHA THAYALAKULASINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15813 PAUL VEGA MD DR STE 401A, HAMMOND, LA 70403-1426
(985) 230-1580
(985) 230-1585
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1580
(985) 230-1585
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
203978
LA
207RP1001X
Pulmonary Disease Physician
Primary
203978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007366
—
LA
Enumeration date
08/09/2007
Last updated
12/30/2022
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