Provider Demographics
NPI:1144253931
Name:SAKETKOO, LESLEY ANN (MD; MPH)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:ANN
Last Name:SAKETKOO
Suffix:
Gender:F
Credentials:MD; MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2622 CAMP ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5619
Mailing Address - Country:US
Mailing Address - Phone:504-237-5720
Mailing Address - Fax:
Practice Address - Street 1:2622 CAMP ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5619
Practice Address - Country:US
Practice Address - Phone:504-237-5720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA026054207R00000X, 208000000X, 207RR0500X
FLME 101651207R00000X, 207RR0500X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1052043Medicaid
FLAL780ZOtherMEDICARE