Evangelista-Dean, Maria Teresa

Evangelista-Dean, Maria Teresa is an individual health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Evangelista-Dean, Maria Teresa can be contacted via phone (225) 765-4050.

Contact Information

Primary practice address
5000 Hennessy Blvd Baton Rouge LA 70808-4375
Phone: (225) 765-4050
Fax: (225) 765-4046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 200495 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200495 Louisiana

Profile Details

NPI number 1225015076
LBN Legal business name Evangelista-Dean, Maria Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 9th, 2021 - about 5 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 1225015076 NPPES
Mississippi MEDICAID 07704898
Mississippi MEDICAID 1782645

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