Gardner, Renee V
Gardner, Renee V is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Gardner, Renee V can be contacted via phone (504) 896-9740.Contact Information
Primary practice address
200 Henry Clay Ave
New Orleans LA 70118-5720
Phone: (504) 896-9740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10186R | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 10186R | Louisiana |
Profile Details
| NPI number | 1629089149 |
|---|---|
| LBN Legal business name | Gardner, Renee V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 3rd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629089149 | NPPES |
| Louisiana | MEDICAID | 1982661 | |
| Louisiana | MEDICAID | 00118126 |
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