Provider Demographics
NPI:1184695009
Name:RODEN, KAREN B (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:RODEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 84460
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-4460
Mailing Address - Country:US
Mailing Address - Phone:225-526-0011
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:4809 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8800
Practice Address - Country:US
Practice Address - Phone:337-235-7898
Practice Address - Fax:337-235-8707
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2017-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA14328R207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1102504Medicaid
LA1102504Medicaid
LA1102504Medicaid