Provider Demographics
NPI:1750822060
Name:JASPER, MARKEIYA POLITE (MD)
Entity Type:Individual
Prefix:
First Name:MARKEIYA
Middle Name:POLITE
Last Name:JASPER
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 1:13085 CHEF MENTEUR HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70129-1804
Mailing Address - Country:US
Mailing Address - Phone:504-255-8665
Mailing Address - Fax:504-254-6447
Practice Address - Street 1:13085 CHEF MENTEUR HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70129-1804
Practice Address - Country:US
Practice Address - Phone:504-255-8665
Practice Address - Fax:504-254-6447
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA327009207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program