DR. WAGIH R MANDO


Address: 200 W Esplanade Ave, Suite 410, Kenner, LA 70065-2489
Phone: 5044648619

DR. WAGIH R MANDO (NPI# 1255393526) 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) 1255393526
Entity Type Individual
Full Name DR. WAGIH R MANDO
Credential M.D
Practice Address 200 W Esplanade Ave
Suite 410
Kenner
LA 70065-2489
Practice Telephone 5044648619
Practice Fax Number 5044644876
Mailing Telephone 5044648619
Mailing Fax Number 5044644876
Enumeration Date 2006-04-03
Last Update Date 2011-04-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 09630R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1966312 05

Office Location

Street Address 200 W ESPLANADE AVE
SUITE 410
City KENNER
State LA
Zip Code 70065-2489

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619971074 Karl Neal Hanson Family Medicine 200 W Esplanade Ave, Ste 307, Kenner, LA 70065-2474 2005-06-13
1457952400 Brittany Ragas Nurse Practitioner 200 W Esplanade Ave, Kenner, LA 70065-2489 2020-11-05
1285285510 Louisiana State University School of Medicine In New Orleans Faculty Specialist 200 W Esplanade Ave, Kenner, LA 70065-2489 2019-09-27
1235784505 Katherine Boston Nurse Practitioner 200 W Esplanade Ave, Kenner, LA 70065-2489 2019-08-05
1386153591 Kayleigh Eppling Binet Orthopaedic Surgery 200 W Esplanade Ave, Kenner, LA 70065-2489 2017-09-20
1609317999 Stephen Lambert Family Medicine 200 W Esplanade Ave, Kenner, LA 70065-2489 2017-03-20
1467908764 Rekha Ramachandran Internal Medicine 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 2016-08-28
1700230745 Penny Ann Boyle Family Medicine 200 W Esplanade Ave, Suite 412, Kenner, LA 70065-2489 2016-04-15
1205217684 Emily Elizabeth Montz Physician Assistant 200 W Esplanade Ave, Ste 210, Kenner, LA 70065-2489 2015-06-11
1215347570 Adeel Zia Family Medicine 200 W Esplanade Ave, Suite 409, Kenner, LA 70065-2489 2014-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689226946 Silver Lining Dentistry & Co. Clinic/Center 2305 West Esplanade Suit U, Kenner, LA 70065 2019-07-16
1912462615 Tamiqua Monique Torres Lactation Consultant, Non-RN 4129 Idaho Ave #a, Kenner, LA 70065 2019-02-06
1649766650 Kenner Dental Associates, LLC Dentist 1501 32nd St., Kenner, LA 70065 2018-07-03
1194216465 Shanne Gilbert Technician, Pathology Kenner Metairie and Surrounding Areas, Kenner, LA 70065 2018-05-23
1437668597 Jbl Rx LLC Pharmacy 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 2017-09-21
1073049532 Jonathan English Counselor 3701 Tulane Dr, Kenner, LA 70065 2017-05-03
1033644752 Fonteno Services LLC Non-emergency Medical Transport (VAN) 3017 Huntsville, St, Kenner, LA 70065 2017-05-01
1821521915 Shondreca Nicole Sanders Counselor 4520 Williams Blvd, #y383, Kenner, LA 70065 2017-04-06
1225570104 Dominiece Lacroix Nurse Practitioner 3616 Loyola Drive, 271, Kenner, LA 70065 2016-11-09
1427506286 Lisandra Nunez Counselor 153 Auburn Pl, Kenner, LA 70065 2016-09-21
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881969129 Clint Sumbera Schoolfield Jr. Surgery 200 W Esplanade Ave Ste 401, Kenner, LA 70065 2012-03-20
1497075683 Raul G. Reyes Md Amc Surgery 361 W Esplanade Ave, Kenner, LA 70065-2541 2010-06-10
1700014818 Suma Sangisetty Maddox Surgery 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 2009-06-26
1780851832 Crh Clinic of Louisiana, Inc Surgery 200 W Esplanade Ave, Suite 410-b, Kenner, LA 70065-2489 2008-05-08
1093993172 Wagih Mando, M.d., Facs., LLC Surgery 200 W Esplanade Ave, Suite 410, Kenner, LA 70065-2489 2008-01-31
1861676702 Wagih R Mando, Md Facs LLC Surgery 200 W Esplanade Ave, Ste 410, Kenner, LA 70065-2489 2007-12-27
1295826774 Yi-zarn Wang Surgery 200 W Esplanade Ave, Suite 200, Kenner, LA 70065-2489 2006-09-27
1407879455 John Philip Boudreaux Surgery 200 W Esplanade Ave, Suite 200, Kenner, LA 70065-2489 2006-07-25
1568485423 Eugene Anthony Woltering Surgery 200 W Esplanade Ave, Sutie 200, Kenner, LA 70065-2489 2006-07-25
1427070937 Ramcharan Thiagarajan Surgery 200 W Esplanade Ave, Ste 200, Kenner, LA 70065-2489 2006-07-24
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Competitor

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City KENNER
Zip Code 70065

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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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