Provider Demographics
NPI:1255516720
Name:HARRIS, MIA HELEN (MD, MPH)
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:HELEN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8426 BEECHWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1902
Mailing Address - Country:US
Mailing Address - Phone:504-905-8943
Mailing Address - Fax:
Practice Address - Street 1:8426 BEECHWOOD CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1902
Practice Address - Country:US
Practice Address - Phone:504-905-8943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.201434208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics