Individual
DEE MALKERNEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056-7127
(504) 391-5177
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.204450
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05076293
—
MS
05
—
2154702
—
LA
Enumeration date
01/04/2007
Last updated
11/03/2011
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