Healthcare Provider Details

I. General information

NPI: 1093946030
Provider Name (Legal Business Name): NEHA KANSARA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 POYDRAS ST ST #1950
NEW ORLEANS LA
70130-3245
US

IV. Provider business mailing address

819 SAINT JOHN ST
LAFAYETTE LA
70501-6707
US

V. Phone/Fax

Practice location:
  • Phone: 504-322-3837
  • Fax: 504-322-3847
Mailing address:
  • Phone: 337-534-0770
  • Fax: 337-534-4370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number765L
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number205579
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: