Provider Demographics
NPI:1104955749
Name:RAI, KASHMIR KAUR (MD)
Entity type:Individual
Prefix:MS
First Name:KASHMIR
Middle Name:KAUR
Last Name:RAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2901 N CAUSEWAY BLVD
Mailing Address - Street 2:STE 307
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4842
Mailing Address - Country:US
Mailing Address - Phone:504-818-2525
Mailing Address - Fax:504-818-0492
Practice Address - Street 1:824 ELMWOOD PARK BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-3360
Practice Address - Country:US
Practice Address - Phone:504-818-2525
Practice Address - Fax:504-818-0492
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA22145207Q00000X
NC2006-00055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1497657Medicaid
LAG56952Medicare UPIN
LA5Y692Medicare ID - Type Unspecified