MEDICARE: KAREN SHEDRICK

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	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	880587973	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	:	1962125559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN SHEDRICK

Provider Business Mailing Address
First Line	:	609 METAIRIE RD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	504-313-4382
Fax Number	:

Provider Business Practice Location Address
First Line	:	609 METAIRIE RD
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70005-4034
Country	:	US
Telephone Number	:	504-313-4382
Fax Number	:

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

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

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Directions to “ KAREN SHEDRICK ” Practice Location

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