Organization
NORTHSHORE GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID HUSSAIN M.D (OWNER)
(985) 845-9000
Entity
Organization
Contact information
Practice address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 845-9000
(985) 845-9003
Mailing address
397 HIGHWAY 21, SUITE 601, MADISONVILLE, LA 70447-3407
(985) 845-9000
(985) 845-9003
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD13335R
LA
Other
Enumeration date
04/27/2009
Last updated
06/19/2009
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