Southern Fertility Center

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

MD06325R Issued in LA

Legal business name

SOUTHERN FERTILITY CENTER

Practice address

1057 Paul Maillard Rd
Luling, LA 70070-4349

Phone

(985) 785-4211

NPI assigned

May 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shailaja Raj, M.D.NPI 1669444600

Title

President

Phone

(985) 785-5610

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shailaja G. Raj, M.D.

  • Gynecology Physician
  • Metairie, LA
  • NPI 1669444600
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1962678144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 TOLMAS DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025031",
            "telephone_number": "985-785-5610",
            "fax_number": "985-785-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "RAJ",
        "authorized_official_first_name": "SHAILAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-785-5610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "LA",
            "license": "MD06325R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338362",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Smith, MD
• Terida Landreaux Smith, RPH
• Songy Family Eyecare LLC
• Bryan Soulie, PT
• Shelia Fonseca Southard, MED, CCC,SLP
• Southern Kidney Specialists, LLC
• St Anthony Outreach Inc
• St Charles Parish Hospital
• St Charles Parish Hospital
• St Charles Parish Hospital

• Reproductive Endocrinology Physician in Luling, LA
• Providers in Luling, LA by specialty
• Reproductive Endocrinology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.