Individual
QUYNH MINH MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 W ESPLANADE AVE, KENNER, LA 70065
(504) 465-0185
(504) 467-1528
Mailing address
705 W ESPLANADE AVE, KENNER, LA 70065-2867
(504) 465-0185
(504) 467-1528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024314
LA
207Q00000X
Family Medicine Physician
24314
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1448940
—
LA
Enumeration date
04/14/2006
Last updated
06/19/2015
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