Individual
MIRJANA BUKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26643
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1420280
—
LA
Enumeration date
07/02/2006
Last updated
07/12/2011
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