Provider Demographics
NPI:1750467015
Name:MENSAH-ARMOO, ELSIE JOHANNA (MD)
Entity Type:Individual
Prefix:
First Name:ELSIE
Middle Name:JOHANNA
Last Name:MENSAH-ARMOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELSIE
Other - Middle Name:JOHANNA
Other - Last Name:MENSAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3330 MASONIC DRIVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-0000
Mailing Address - Country:US
Mailing Address - Phone:318-449-2673
Mailing Address - Fax:318-449-2320
Practice Address - Street 1:3330 MASONIC DRIVE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-0000
Practice Address - Country:US
Practice Address - Phone:318-449-2673
Practice Address - Fax:318-449-2320
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15495R207R00000X
LAMD.15495R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1465496Medicaid
LA1465496Medicaid
LAH97311Medicare UPIN
P00629301Medicare PIN