Garrett, Deiadra

Garrett, Deiadra is an individual health care provider with primary practice located at 4704 Ambassador Caffery Pkwy , Lafayette LA 70508-6908. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Garrett, Deiadra can be contacted via phone (337) 470-5920.

Contact Information

Primary practice address
4704 Ambassador Caffery Pkwy Lafayette LA 70508-6908
Phone: (337) 470-5920
Fax: (337) 371-3160
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 02974 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 023974 Louisiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 023974 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 023974 Louisiana

Profile Details

NPI number 1144397472
LBN Legal business name Garrett, Deiadra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144397472 NPPES
Illinois Other 1627123 BCBS PROVIDER ID
Illinois MEDICAID 036114195 1 BCBS PROVIDER ID

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