Individual
DR. CARY TRENT DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
831 DUBLIN ST, NEW ORLEANS, LA 70118-1023
(504) 439-8530
Mailing address
831 DUBLIN ST, NEW ORLEANS, LA 70118-1023
(504) 439-8530
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
523
SC
213E00000X
Podiatrist
Primary
PD195R
LA
213EP1101X
Primary Podiatric Medicine Podiatrist
80180
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05001054
MEDICAID PROVIDER NUMBER
MS
05
—
1549525
—
LA
05
—
PD5232
—
SC
Enumeration date
06/18/2006
Last updated
09/26/2013
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