Individual
SOPHIA MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 GAUSE BLVD, #460, SLIDELL, LA 70458-2951
(985) 649-5880
Mailing address
1051 GAUSE BLVD, #460, SLIDELL, LA 70458-2951
(985) 649-5880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
301735
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
04/20/2012
Last updated
10/06/2016
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