Individual
LOUIS THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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