Provider Demographics
NPI:1821003492
Name:GAZMEN, NINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:M
Last Name:GAZMEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7777 HENNESSY BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:225-769-9797
Mailing Address - Fax:225-769-4228
Practice Address - Street 1:5000 HENNESSY BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4375
Practice Address - Country:US
Practice Address - Phone:225-765-6320
Practice Address - Fax:225-765-6322
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2011-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3555207U00000X
LA201148207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine