Provider Demographics
NPI:1851581318
Name:DEAN, RASHONDA L (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHONDA
Middle Name:L
Last Name:DEAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:RASHONDA
Other - Middle Name:L
Other - Last Name:CUNNINGHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1015 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5970
Mailing Address - Country:US
Mailing Address - Phone:318-528-8902
Mailing Address - Fax:318-528-8901
Practice Address - Street 1:3807 PRESCOTT RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3732
Practice Address - Country:US
Practice Address - Phone:318-528-8902
Practice Address - Fax:318-528-8901
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200248207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACDS.034682-MDOtherCDS#
LA1074411Medicaid
LAFD4747777OtherDEA
LA5DF63Medicare PIN