DR. INDIRA MOHAN KAILAS (NPI# 1316005853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316005853 |
Entity Type | Individual |
Full Name | DR. INDIRA MOHAN KAILAS |
Credential | M.D. |
Practice Address |
5001 Westbank Expressway Marrero LA 70072 |
Mailing Address |
3300 West Esplanade Ave Suite 213 Metairie LA 70002 |
Practice Telephone | 5043498708 |
Practice Fax Number | 5048385714 |
Mailing Telephone | 5048385312 |
Mailing Fax Number | 5048385312 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2011-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
R#005403, L#0170 | LA | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R#005403, L#0170 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1916544 | 05 |
Street Address |
5001 WESTBANK EXPRESSWAY |
City | MARRERO |
State | LA |
Zip Code | 70072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821039983 | Jefferson Parish Human Services Authority | Clinic/Center | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-06-09 |
1477619849 | Adrienne Hammer Rynning | Social Worker | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-12-29 |
1164582326 | A Michael Hotard | Social Worker | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-12-11 |
1932274842 | Courtney Alison Wolverton | Specialist | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-11-24 |
1154493385 | Karolina Mroczkowska-leonik | Psychiatry & Neurology | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-11-14 |
1881774701 | Robert James Griffin | Counselor | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-10-16 |
1558470625 | Toni Smith Barice | Licensed Practical Nurse | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-08-30 |
1578672655 | Helen Craig Glancy | Social Worker | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-08-30 |
1871500579 | John Patrick Haddican | Social Worker | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-08-02 |
1518974401 | Linda G Stewart | Social Worker | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
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Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952315624 | Byron Allen Hammer | Psychiatry & Neurology | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225477235 | Angela K. Jubert | Psychiatry & Neurology | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2013-06-24 |
1619119567 | Nicholas Fluitt | Psychiatry & Neurology | 111 N Causeway Blvd Ste 222, Mandeville, LA 70448 | 2009-03-24 |
1699781591 | Brian D Monette | Psychiatry & Neurology | 1112 E Ascension Complex Ave., Gonzales, LA 70737 | 2006-07-31 |
1679501712 | Anwar Ismail | Psychiatry & Neurology | 4113 Williams Blvd., Kenner, LA 70065 | 2006-06-29 |
1730186750 | Alphonse Kenison Roy IIi | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2005-07-05 |
1477103240 | Anthony Micheal Peperone | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471-3310 | 2019-09-13 |
1730660176 | Epiphany Healthcare System, Inc | Psychiatry & Neurology | 906 C M Fagan Dr Bldg A, Suite 6a, Hammond, LA 70403 | 2018-08-23 |
1104280825 | Jerrell Mitchell | Psychiatry & Neurology | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2016-04-08 |
1790129617 | Narissa Etwaroo | Psychiatry & Neurology | 1501 Kings Hwy, Psychiatry, Shreveport, LA 71103 | 2013-04-22 |
1306020698 | Biobehavioral Medicine Company, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-12-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.