Basic Information
| Provider Information | |||||||||
| NPI: | 1528385291 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANDIFER KUM-NJI | ||||||||
| FirstName: | JULIETTE | ||||||||
| MiddleName: | LAGINGER | ||||||||
| NamePrefix: | |||||||||
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| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | SANDIFER | ||||||||
| OtherFirstName: | JULIETTE | ||||||||
| OtherMiddleName: | LAGINGER | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1000 OCHSNER BLVD | ||||||||
| Address2: | |||||||||
| City: | COVINGTON | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704338107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858752828 | ||||||||
| FaxNumber: | 9858712576 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 OCHSNER BLVD | ||||||||
| Address2: | |||||||||
| City: | COVINGTON | ||||||||
| State: | LA | ||||||||
| PostalCode: | 704338107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858752828 | ||||||||
| FaxNumber: | 9858712576 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2010 | ||||||||
| LastUpdateDate: | 08/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 24924 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RE0101X | 24924 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | 207RE0101X | 320680 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No ID Information.