Provider Demographics
NPI:1477597102
Name:ESTES, VINEETA A (MD)
Entity Type:Individual
Prefix:
First Name:VINEETA
Middle Name:A
Last Name:ESTES
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 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:4429 CLARA ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6902
Practice Address - Country:US
Practice Address - Phone:504-842-4155
Practice Address - Fax:504-842-4422
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23027207V00000X
LAMD.202029207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04729521Medicaid
AL051551830Medicaid
AL160057316OtherRAILROAD MEDICARE
AL51111255OtherBCBS
LA2393219Medicaid
AL009936975Medicaid
AL051509465OtherBLUE CROSS
AL051551830OtherBLUE CROSS
AL160057316OtherRAILROAD MEDICARE
LA416433YH3UMedicare PIN
AL051551830Medicare PIN