Provider Demographics
NPI:1346008810
Name:MCFADDEN, MIA
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:
Last Name:MCFADDEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LSU OBGYN RESIDENCY PROGRAM, 500 RUE DE LA VIE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817
Mailing Address - Country:US
Mailing Address - Phone:225-215-7960
Mailing Address - Fax:
Practice Address - Street 1:LSU OBGYN RESIDENCY PROGRAM, 500 RUE DE LA VIE
Practice Address - Street 2:SUITE 404
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817
Practice Address - Country:US
Practice Address - Phone:225-215-7960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program