Provider Demographics
NPI:1053502732
Name:CATTIE, RABIA LATIF (MD)
Entity Type:Individual
Prefix:
First Name:RABIA
Middle Name:LATIF
Last Name:CATTIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RABIA
Other - Middle Name:
Other - Last Name:LATIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4204 HOUMA BLVD
Mailing Address - Street 2:FL 2
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2903
Mailing Address - Country:US
Mailing Address - Phone:504-883-2968
Mailing Address - Fax:504-883-2973
Practice Address - Street 1:4204 HOUMA BLVD
Practice Address - Street 2:FL 2
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2903
Practice Address - Country:US
Practice Address - Phone:504-883-2968
Practice Address - Fax:504-883-2973
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268549207RH0003X
LAMD.208255207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2402013Medicaid
LA447609YT3RMedicare PIN