Individual
CYNTHIA HANEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 TULANE AVE, HC 71, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-7616
Mailing address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5800
(504) 988-7616
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
023101
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06900731
—
MS
05
—
1484393
—
LA
01
—
P00378214
RAILROAD
—
Enumeration date
07/02/2006
Last updated
12/05/2012
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