Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
profile image
Primary Practice Address
1415 TULANE AVE
NEW ORLEANS, LA 70112-2600 US
PECOS Enrolled

Shanan Ray Immel

Student


Shanan Ray Immel

Overview

Shanan Ray Immel is a Student in the NEW ORLEANS area. Shanan Ray Immel primary office location is at 1415 TULANE AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1881221315 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1415 TULANE AVE
NEW ORLEANS, LA 70112-2600 US
Phone: (504)-988-5263
Fax:
Practice Mailing Information
1430 TULANE AVE # 8050
NEW ORLEANS, LA 70112-2600 US
Phone: (504)-988-7809
Fax: (504)-988-3971
License NumberState
-LA