Provider Demographics
NPI:1558595256
Name:ERBIL, JEN KAREN (MD)
Entity Type:Individual
Prefix:
First Name:JEN
Middle Name:KAREN
Last Name:ERBIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CENNET
Other - Middle Name:KARAN
Other - Last Name:ERBIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-526-0002
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:SUITE 501A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-6505
Practice Address - Fax:225-765-1223
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA205029207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2106481Medicaid
MS05673363Medicaid
LA2106481Medicaid