Provider Demographics
NPI:1346848538
Name:DE OLIVEIRA, SAMIRE ALMEIDA (MD)
Entity type:Individual
Prefix:
First Name:SAMIRE
Middle Name:ALMEIDA
Last Name:DE OLIVEIRA
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 1:6711 SILVER SPRINGS DR.
Mailing Address - Street 2:
Mailing Address - City:GREENWELL SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70739
Mailing Address - Country:US
Mailing Address - Phone:225-932-1703
Mailing Address - Fax:225-351-9103
Practice Address - Street 1:701 POYDRAS ST SUITE 104
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70139
Practice Address - Country:US
Practice Address - Phone:504-309-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12696207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine