Individual
DR. ALEXANDER KENNETH MULAMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5271
(203) 945-2360
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
(203) 945-2360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0065819
MD
207RP1001X
Pulmonary Disease Physician
046595
CT
207RP1001X
Pulmonary Disease Physician
Primary
MD205412
LA
390200000X
Student in an Organized Health Care Education/Training Program
046595
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00827385
—
MS
05
—
2302779
—
LA
Enumeration date
04/17/2007
Last updated
12/18/2012
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