Provider Demographics
NPI:1528196771
Name:SINCLAIR, DIANE MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:MARY
Last Name:SINCLAIR
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 1:2000 LAKESHORE DR
Mailing Address - Street 2:HPC 137A
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70148-0001
Mailing Address - Country:US
Mailing Address - Phone:504-280-6387
Mailing Address - Fax:504-280-5405
Practice Address - Street 1:2000 LAKESHORE DR
Practice Address - Street 2:HPC 137A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70148-0001
Practice Address - Country:US
Practice Address - Phone:504-280-6387
Practice Address - Fax:504-280-5405
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.023228207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H 12949Medicare UPIN