Isakadze, Marine
Isakadze, Marine is an individual health care provider with primary practice located at 155 Hospital Dr Ste 303 , Lafayette LA 70503-2852. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Isakadze, Marine can be contacted via phone (337) 571-2917.Contact Information
Primary practice address
155 Hospital Dr Ste 303
Lafayette LA 70503-2852
Phone: (337) 571-2917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 352381 | Louisiana |
Profile Details
| NPI number | 1043838501 |
|---|---|
| LBN Legal business name | Isakadze, Marine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2020 |
| Last updated | Oct 3rd, 2026 - about last month |
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 | 1043838501 | NPPES |
| Louisiana | MEDICAID | 2531166 |
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