Individual
AHMED MAMILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Mailing address
501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301-8124
(318) 484-3899
(318) 484-3887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207399
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157566
—
LA
Enumeration date
08/15/2011
Last updated
02/23/2017
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