Provider Demographics
NPI:1770873275
Name:SAMANT, SNEHA (MD)
Entity type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:SAMANT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 HOUMA BLVD STE 380
Mailing Address - Street 2:EJ PULM
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2980
Mailing Address - Country:US
Mailing Address - Phone:504-454-5213
Mailing Address - Fax:504-456-8053
Practice Address - Street 1:4224 HOUMA BLVD STE 380
Practice Address - Street 2:EJ PULM
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2980
Practice Address - Country:US
Practice Address - Phone:504-454-5213
Practice Address - Fax:504-456-8053
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA207432207R00000X
390200000X
LAMD.207432207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program