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Individual

LOUIS THIBODEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11155 KENWOOD RD, CINCINNATI, OH 45242-1817
(513) 385-1919
(513) 385-6208
Mailing address
11155 KENWOOD RD, CINCINNATI, OH 45242-1817
(513) 385-1919
(513) 385-6208

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35063926
OH
2086S0129X
Vascular Surgery Physician
35063926
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007820
ANTHEM
OH
05
0943242
OH
01
0972646
AETNA
OH
05
100328970A
OH
01
14096
NATIONWIDE
OH
01
1701181
UNITED HEALTHCARE
OH
01
310837421
WAUSAU
OH
05
310837421027
OH
01
310837421SA
EMERALD HEALTH
OH
05
64958879
OH
01
9246433001
CIGNA
OH
Enumeration date
11/18/2005
Last updated
09/08/2008
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