Provider Demographics
NPI:1245211978
Name:ARANDA, MARY CATHERINE (MD)
Entity type:Individual
Prefix:
First Name:MARY CATHERINE
Middle Name:
Last Name:ARANDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 OCKLEY DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-3023
Mailing Address - Country:US
Mailing Address - Phone:702-335-3009
Mailing Address - Fax:
Practice Address - Street 1:2032 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-2123
Practice Address - Country:US
Practice Address - Phone:318-698-0035
Practice Address - Fax:318-698-0078
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.2065642080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics