MEDICARE: DR. RASHONDA L. DEAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	200248	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CDS.034682-MD	OTHER	LA	CDS#
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851581318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RASHONDA L. DEAN M.D.

Provider Business Mailing Address
First Line	:	1015 S UNION ST
Second Line	:
City	:	OPELOUSAS
State	:	LA
Zip	:	70570-5970
Country	:	US
Telephone Number	:	318-528-8902
Fax Number	:	318-528-8901

Provider Business Practice Location Address
First Line	:	3807 PRESCOTT RD
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3732
Country	:	US
Telephone Number	:	318-528-8902
Fax Number	:	318-528-8901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	10/17/2023

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