Active NPI
Manjit K Wadhwa MD Inc
- Anesthesiology Physician
- La Place, LA
National Provider Identifier
1982046959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD05651R
- Legal business name
- MANJIT K WADHWA MD INC
- Practice address
- 383 Oak Tree Drive
Laplace, LA 70068 - Phone
- (985) 651-9293
- Fax
- (985) 651-9292
- NPI assigned
- Jul 19, 2013
- Last updated
- Jul 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajay K Wadhwa
- Title
- Office Manager
- Phone
- (985) 651-9293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD05651R | LA | Primary |
Addresses
Primary practice location
383 Oak Tree Drive
Laplace, LA 70068
Mailing address
383 Oak Tree Dr
La Place, LA 70068-1911
Phone (985) 651-9293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321133 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- La Place, LA
- NPI 1689687659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374192000000",
"number": "1982046959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 OAK TREE DR",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700681911",
"telephone_number": "985-651-9293",
"fax_number": "985-651-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 OAK TREE DRIVE",
"city": "LAPLACE",
"state": "LA",
"postal_code": "70068",
"telephone_number": "985-651-9293",
"fax_number": "985-651-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANJIT K WADHWA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-19",
"last_updated": "2013-07-19",
"status": "A",
"authorized_official_last_name": "WADHWA",
"authorized_official_first_name": "AJAY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "985-651-9293"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "MD05651R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1321133",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.