Provider Demographics
NPI:1144354473
Name:ST. GERMAIN, GERALDINE ALBA (MD)
Entity type:Individual
Prefix:DR
First Name:GERALDINE
Middle Name:ALBA
Last Name:ST. GERMAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 HOUMA BLVD
Mailing Address - Street 2:STE 410
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3021
Mailing Address - Country:US
Mailing Address - Phone:504-883-3770
Mailing Address - Fax:504-883-3711
Practice Address - Street 1:4228 HOUMA BLVD
Practice Address - Street 2:STE 410
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3021
Practice Address - Country:US
Practice Address - Phone:504-883-3770
Practice Address - Fax:504-883-3711
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01137207V00000X
TN40544207V00000X
LA203462207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7809332OtherCIGNA
TN3000130Medicaid
TN4154127OtherBCBST
7012962OtherAETNA HMO
MS09377061Medicaid
NC5910195Medicaid
TNP00411147OtherRAILROAD MEDICARE
AR84617OtherBCBS AR
MS09377061Medicaid
7012962OtherAETNA HMO