Provider Demographics
NPI:1497882682
Name:DOUCET, KARLA B (MD)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:B
Last Name:DOUCET
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 1:2272 HOLLYDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-2137
Mailing Address - Country:US
Mailing Address - Phone:225-938-6724
Mailing Address - Fax:
Practice Address - Street 1:2272 HOLLYDALE AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-2137
Practice Address - Country:US
Practice Address - Phone:225-938-6724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10525R207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1996611Medicaid
LA1996611Medicaid
F91728Medicare UPIN