MEDICARE: DR. TAMIKA SESSION MAYO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	026311	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073502324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMIKA SESSION MAYO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 82109
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70884-2109
Country	:	US
Telephone Number	:	225-381-2712
Fax Number	:	225-381-2715

Provider Business Practice Location Address
First Line	:	3401 NORTH BLVD
Second Line	:	STE 360
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3743
Country	:	US
Telephone Number	:	225-381-2712
Fax Number	:	225-381-2715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/19/2008

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