Individual
VINITHA R SHENAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9569
(504) 896-9849
Mailing address
2020 GRAVIER ST, CORRIDOR J, RM 330, NEW ORLEANS, LA 70112-2272
(504) 568-4680
(504) 568-4466
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD.201545
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105201
BCBS
KS
01
—
12393856
MULTIPLAN
KS
01
—
14824
PHS
KS
05
—
200354150A
—
KS
01
—
205235
HPK
KS
01
—
254938
COVENTRY
KS
Enumeration date
06/18/2006
Last updated
08/14/2007
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