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Organization

QUYNH MAI CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QUYNH MAI MD (DIRECTOR)
(504) 465-0185
Entity
Organization

Contact information

Practice address
705 W ESPLANADE AVE, KENNER, LA 70065-2867
(504) 465-0185
(504) 467-1528
Mailing address
PO BOX 73701, METAIRIE, LA 70033-3701
(877) 241-1811
(888) 849-5029

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1448940
LA
01
5CF86
MEDICARE PTAN
LA
Enumeration date
05/20/2006
Last updated
11/01/2013
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