Provider Demographics
NPI:1891964318
Name:BARUA-NATH, URVASHI (MD)
Entity Type:Individual
Prefix:DR
First Name:URVASHI
Middle Name:
Last Name:BARUA-NATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:URVASHI
Other - Middle Name:
Other - Last Name:BARUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5000 HENNESSY BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4375
Mailing Address - Country:US
Mailing Address - Phone:225-765-8853
Mailing Address - Fax:225-765-1700
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:225-765-8853
Practice Address - Fax:225-765-1700
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.203126208000000X
TXR2532207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1508233Medicaid
MT02389898Medicaid
MT02389898Medicaid
4M155BD11Medicare PIN