Mitra Marie Green
M.D. | Pediatrics | Female
Mitra Marie Green, M.D. is a Monroe, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mitra Marie Green is
3421 Medical Park Dr, Monroe, Louisiana - 71203-2355. She can be contacted on phone at
318-376-7337.
Mitra Marie Green is a sole proprietor of her business.
NPI number (Unique professional ID) for Mitra Marie Green is
1699702761 which was assigned by NPPES on 26 Jun, 2006 and it was last updated on 11 Apr, 2023.
Mitra Marie Green license number is
020108 for Pediatrics (208000000X) in Louisiana.
Mitra Marie Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mitra Marie Green basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mitra Marie Green |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mitra Marie Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3421 Medical Park Dr
Monroe, LA, 71203-2355
United States |
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| Phone Number : | 318-376-7337 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699702761 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Jun, 2006 |
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| Last Updated On : | 11 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mitra Marie Green are as mentioned. Primary taxonomy code for Mitra Marie Green, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 020108 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Mitra Marie Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1950831 | MEDICAID | LA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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309 JACKSON ST,
MONROE, LA, 71201-7407
United States | MONROE, LA | 318-966-4470 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1601 Lamy Ln
Monroe, LA, 71201-3735
United States |
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| Phone Number : | 318-387-3453 |
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| Fax Number : | 318-323-9045 |
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Business Location:
Patients can refer following map for directions to
Mitra Marie Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.