Provider Demographics
NPI:1053630962
Name:JUNEAU, CAROLINE RAGHEB (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:RAGHEB
Last Name:JUNEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6227
Mailing Address - Country:US
Mailing Address - Phone:504-891-1390
Mailing Address - Fax:
Practice Address - Street 1:4321 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6227
Practice Address - Country:US
Practice Address - Phone:504-891-1390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305292207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology