Healthcare Provider Details

I. General information

NPI: 1417432865
Provider Name (Legal Business Name): UPTOWN ALLERGY & ASTHMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 JENA ST
NEW ORLEANS LA
70115-6348
US

IV. Provider business mailing address

2620 JENA ST
NEW ORLEANS LA
70115-6348
US

V. Phone/Fax

Practice location:
  • Phone: 504-605-5351
  • Fax: 877-637-9467
Mailing address:
  • Phone: 504-605-5351
  • Fax: 877-637-9467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. REENA S MEHTA
Title or Position: OWNER/ M.D.
Credential: M.D.
Phone: 215-558-8422