Individual
MADHURI DEEPAK DIXIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 14TH ST, SLIDELL, LA 70458-2944
(985) 601-0410
(985) 649-8703
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5852
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10981R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649937
—
LA
Enumeration date
06/16/2005
Last updated
11/03/2009
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