MS. SHAMINA KHANUM


Address: 1100 Florida Ave, Lsu Health Science Center (dental School), New Orleans, LA 70119
Phone: 5049418270

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1100 FLORIDA AVE,
LSU HEALTH SCIENCE CENTER (DENTAL SCHOOL)
City NEW ORLEANS
State LA
Zip Code 70119

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City NEW ORLEANS
Zip Code 70119

Improve Information

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Dataset Information

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.

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