MS. SHAMINA KHANUM (NPI# 1053724120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053724120 |
Entity Type | Individual |
Full Name | MS. SHAMINA KHANUM |
Credential | DENTIST |
Practice Address |
1100 Florida Ave Lsu Health Science Center (dental School) New Orleans LA 70119 |
Mailing Address |
940 Church Rd W Southaven MS 38671 |
Practice Telephone | 5049418270 |
Mailing Telephone | 6622538027 |
Mailing Fax Number | 6622538067 |
Enumeration Date | 2014-06-06 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4090-19 | MS | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1100 FLORIDA AVE, LSU HEALTH SCIENCE CENTER (DENTAL SCHOOL) |
City | NEW ORLEANS |
State | LA |
Zip Code | 70119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
Find all providers in zip 70119 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
1508400722 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 5809 Citrus Blvd Ste 100, New Orleans, LA 70123-5811 | 2019-10-31 |
1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
1184138034 | Dumas Family Dental | Dentist | 3004 Gentilly Blvd, New Orleans, LA 70122 | 2017-11-29 |
1235642489 | Gary Regan Bencsek | Dentist | 3000 Perdido St, New Orleans, LA 70119-7246 | 2017-11-09 |
1720591043 | Mid City Smiles Family Dentistry | Dentist | 3625 Canal Street, New Orleans, LA 70119 | 2017-11-08 |
1619496577 | Elite Dental | Dentist | 2703 General De Gaulle Dr, New Orleans, LA 70114-6222 | 2017-09-12 |
1225567951 | Elise Mouras | Dentist | 6132 Memphis St, New Orleans, LA 70124-3039 | 2017-06-06 |
1194253112 | Mary Nguyen | Dentist | 4923 Gilbert St, New Orleans, LA 70129-1634 | 2017-06-03 |
1710338702 | Timothy Ryan Mooney | Dentist | 4141 Bienville St # 105, New Orleans, LA 70119-5149 | 2016-06-30 |
Find all providers in NEW ORLEANS |
City | NEW ORLEANS |
Zip Code | 70119 |
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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.