Provider Demographics
NPI:1447664149
Name:MAI, HUNG (AUD)
Entity type:Individual
Prefix:
First Name:HUNG
Middle Name:
Last Name:MAI
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 W ESPLANADE AVE STE X
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3707
Mailing Address - Country:US
Mailing Address - Phone:504-375-3075
Mailing Address - Fax:
Practice Address - Street 1:2305 W ESPLANADE AVE
Practice Address - Street 2:SUITE X
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-7006
Practice Address - Country:US
Practice Address - Phone:504-430-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHT-8822231H00000X
237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist