Individual
KHALDOUN SOUDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2220 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 704-0001
(318) 704-0002
Mailing address
2220 WORLEY DR, ALEXANDRIA, LA 71301-3600
(318) 704-0001
(318) 704-0002
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
204504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151665
—
LA
Enumeration date
10/17/2005
Last updated
07/17/2019
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