# LAKESIDE PHYSICIAN ASSOCIATES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942391826
- **Authorized official:** DR. MOHAMMAD NAEEM M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (504) 780-6453

## Contact information

- **Practice address:** 1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
- **Practice address phone:** (504) 305-6251
- **Mailing address:** PO BOX 54477, NEW ORLEANS, LA 70154-4477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 10199R | LA | Yes |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 08/22/2020