Individual
SUMATHI SIVA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 ROBERT BLVD, SLIDELL, LA 70458-2068
(985) 639-3777
(985) 639-3708
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
(504) 679-9928
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
11896R
LA
207RH0003X
Hematology & Oncology Physician
Primary
MD11896R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04554341
—
MS
05
—
1690384
—
LA
Enumeration date
01/17/2006
Last updated
03/21/2022
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