Provider Demographics
NPI:1912148909
Name:SIAS, JAMIE M (MD)
Entity Type:Individual
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First Name:JAMIE
Middle Name:M
Last Name:SIAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:STE 35
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3628
Mailing Address - Country:US
Mailing Address - Phone:504-897-8315
Mailing Address - Fax:504-891-9862
Practice Address - Street 1:4000 BIENVILLE ST
Practice Address - Street 2:UNIT B
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5163
Practice Address - Country:US
Practice Address - Phone:504-252-9488
Practice Address - Fax:504-302-2571
Is Sole Proprietor?:No
Enumeration Date:2009-03-20
Last Update Date:2013-10-17
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Provider Licenses
StateLicense IDTaxonomies
LAMD.206249207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1965430Medicaid