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General NPI Number Information
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NPI Number | 1104955749
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Entity Type | Individual
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Provider Name | KASHMIR KAUR RAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 824 ELMWOOD PARK BLVD SUITE 210
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City | HARAHAN
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State | LA
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Zip | 70123-3360
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Country | US
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Telephone | 504-818-2525
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Fax | 504-818-0492
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Provider Business Mailing Address
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Address Line | 2901 N CAUSEWAY BLVD STE 307
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City | METAIRIE
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State | LA
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Zip | 70002-4842
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Country | US
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Telephone | 504-818-2525
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Fax | 504-818-0492
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 22145
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2006-00055
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License Number State | NC
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