Doctor Name: | DR. SHANNON CHRISTOPHER CEASAR |
NPI Number: | 1275748675 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 025275 |
Business Practice Address: | 3801 Houma Blvd Suite 100 Metairie, LA - 700064165 |
Business Phone Number: | 5043098135 |
Business Fax Number: | 5043098156 |
Mailing Address: | 3801 Houma Blvd, Suite 100 METAIRIE |
State: | LA |
Postal Code: | 700064165 |
Phone Number: | 5043098135 |
Fax Number: | 5043098156 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 025275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |