Provider Demographics
NPI:1245542653
Name:POOJARY-HOHMAN, ISHNA (MD)
Entity type:Individual
Prefix:
First Name:ISHNA
Middle Name:
Last Name:POOJARY-HOHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ISHNA
Other - Middle Name:
Other - Last Name:POOJARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-3925
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2429
Practice Address - Country:US
Practice Address - Phone:504-842-3925
Practice Address - Fax:504-842-6627
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR72329207R00000X
OH35.132818207RP1001X
LA321662207RP1001X
FLME165156207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120596300Medicaid
FLOX3XNOtherBCBS