Provider Demographics
NPI:1144249319
Name:DEVOE, TIN TIN SWE (MD)
Entity type:Individual
Prefix:DR
First Name:TIN TIN
Middle Name:SWE
Last Name:DEVOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4880 HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6748
Mailing Address - Country:US
Mailing Address - Phone:985-845-4082
Mailing Address - Fax:985-845-1969
Practice Address - Street 1:4880 HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-6748
Practice Address - Country:US
Practice Address - Phone:985-845-8894
Practice Address - Fax:985-845-1969
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016922208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
0678432OtherAETNA
LA1326551Medicaid
174540401769OtherHUMANA
LA1200111OtherUNITED HEALTH CARE
85720OtherCOVENTRY HEALTH
LA4254173OtherAETNA
LA1447048Medicaid
26652840AOtherBLUE CROSS FEDERAL
LA53252OtherBLUE CROSS
85920OtherCOVENTRY