Individual
PERVEZ MUSSARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15784 MEDICAL ARTS DR, SUITE A, HAMMOND, LA 70403-1446
(985) 542-9441
(985) 542-9414
Mailing address
15784 MEDICAL ARTS DR, SUITE A, HAMMOND, LA 70403-1446
(985) 542-9441
(985) 542-9414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08635R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0565390002
CIGNA
LA
05
—
1932396
—
LA
01
—
691600
AETNA
LA
Enumeration date
08/11/2005
Last updated
02/12/2009
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