Provider Demographics
NPI:1497768147
Name:WHITFIELD, RANI G (MD)
Entity Type:Individual
Prefix:DR
First Name:RANI
Middle Name:G
Last Name:WHITFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:429 E AIRPORT AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4844
Mailing Address - Country:US
Mailing Address - Phone:225-765-5500
Mailing Address - Fax:225-924-1243
Practice Address - Street 1:429 EAST AIRPORT DR.
Practice Address - Street 2:SUITE 4
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-765-5500
Practice Address - Fax:225-924-1243
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA28014207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5214233OtherAETNA
10985888OtherCIGNA
610910200OtherWORKMAN COMP
LA1433438Medicaid
2113034OtherUHC
610910200OtherWORKMAN COMP
610910200OtherWORKMAN COMP
LA1433438Medicaid
5214233OtherAETNA
10985888OtherCIGNA