Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL SHANE BODIN, MD
ActiveDR. MICHAEL SHANE BODIN, MD is a Family Medicine healthcare provider located in GONZALES, Louisiana. NPI 1376743427 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GONZALES, LA
Registration Details
- NPI Number
- 1376743427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2007 (19.037507774629 yrs)
- Last Updated
- Jan 14, 2021
- License
-
200969 (LA)
Practice Information
- Address
-
2647 S SAINT ELIZABETH BLVD STE 219GONZALES, LA, 707375020Browse LA providers · Browse ZIP 70737
- Phone
- 2257655500
- Fax
- 2257432620
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GONZALES, LA
| Name | Credential | NPI |
|---|---|---|
| ROBERT P. ST. AMANT | M.D. | 1104822774 |
| JOHN F. FRAICHE | M.D. | 1043218886 |
| SHAWN HALL | M.D. | 1306844147 |
| SRIVALLI DONTHINENI | M.D. | 1609981166 |
| RICHARD J. CARO | M.D. | 1467519678 |
| GERTRUDE GBOLOO | M.D. | 1740491208 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.