Individual
DR. MEENA AJIT BAKARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1008 6TH ST, MAMOU, LA 70554-3124
(337) 468-2515
(337) 468-2517
Mailing address
1008 6TH ST, MAMOU, LA 70554-3124
(337) 468-2515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.06105R
LA
2080P0210X
Pediatric Nephrology Physician
MD.6105R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1331384
—
LA
Enumeration date
12/06/2012
Last updated
12/06/2012
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