Healthcare Provider Details

I. General information

NPI: 1205094745
Provider Name (Legal Business Name): ASHA HEARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHA JAYAKRISHNAN

II. Dates (important events)

Enumeration Date: 05/31/2008
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE 5TH FLOOR- DEPT OF OB-GYN
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

1542 TULANE AVE 5TH FLOOR- DEPT OF OB-GYN
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-4850
  • Fax:
Mailing address:
  • Phone: 504-568-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberLP00709
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number239491
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMD.205415
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: