Provider Demographics
NPI:1831370154
Name:MAYS, DANA C (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:C
Last Name:MAYS
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 1:821 ELLIOTT ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-7732
Mailing Address - Country:US
Mailing Address - Phone:318-441-1030
Mailing Address - Fax:318-441-1050
Practice Address - Street 1:821 ELLIOTT ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-7732
Practice Address - Country:US
Practice Address - Phone:318-441-1030
Practice Address - Fax:318-441-1050
Is Sole Proprietor?:No
Enumeration Date:2007-11-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAG03366246QM0706X
LAMD.203106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11716Medicaid
LA11716Medicaid
54645P330Medicare PIN