Provider Demographics
NPI:1508952326
Name:ESTRADA, LESLIE NASS (MD)
Entity type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:NASS
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:NARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2022 STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-897-4085
Mailing Address - Fax:504-899-4933
Practice Address - Street 1:4720 S I 10 SERVICE RD W STE 406
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1242
Practice Address - Country:US
Practice Address - Phone:504-456-3155
Practice Address - Fax:504-456-3113
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.15555R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1476625Medicaid
LA1476625Medicaid