Healthcare Provider Details
I. General information
NPI: 1285645705
Provider Name (Legal Business Name): CLAUDIE SUZANNE MCARTHUR SHEAHAN MD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/10/2006
Last Update Date: 03/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2820 NAPOLEON AVE STE 700
NEW ORLEANS LA
70115-8291
US
IV. Provider business mailing address
1340 POYDRAS ST SUITE 1640
NEW ORLEANS LA
70112-1221
US
V. Phone/Fax
- Phone: 504-412-1310
- Fax: 504-899-8496
- Phone: 504-412-1835
- Fax: 504-412-1954
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | 15750R |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | MD.15750R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: