Individual
MIRANDA CELESTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4080
(504) 842-3979
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
300364
LA
207Y00000X
Otolaryngology Physician
TP599
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04220780
—
MS
05
—
2429451
—
LA
Enumeration date
04/07/2009
Last updated
12/19/2016
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