Provider Demographics
NPI:1093946030
Name:KANSARA, NEHA (MD)
Entity type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:KANSARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501-6707
Mailing Address - Country:US
Mailing Address - Phone:337-534-0770
Mailing Address - Fax:337-534-4370
Practice Address - Street 1:400 POYDRAS ST
Practice Address - Street 2:ST #1950
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3245
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:504-322-3847
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS765L2084P0800X
LA2055792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2300890Medicaid