Healthcare Provider Details
I. General information
NPI: 1639067424
Provider Name (Legal Business Name): RANI G WHITFIELD MD APMC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
429 E AIRPORT AVE STE 4
BATON ROUGE LA
70806-4844
US
IV. Provider business mailing address
429 E AIRPORT AVE STE 4
BATON ROUGE LA
70806-4844
US
V. Phone/Fax
- Phone: 225-329-9606
- Fax: 225-329-9606
- Phone: 225-329-9606
- Fax: 225-329-9606
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RANI
G
WHITFIELD
Title or Position: PHYSICIAN
Credential: MD
Phone: 225-924-1241