Organization Active NPI

Manjit K Wadhwa MD Inc

  • Anesthesiology Physician
  • La Place, LA
National Provider Identifier
1982046959
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD05651R Issued in LA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1321133MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.