Individual
DR. MUDAR KATTASH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4139
(337) 562-2293
(337) 562-1469
Mailing address
PO BOX 7788, LAKE CHARLES, LA 70605
(337) 562-2293
(337) 562-1469
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
12869R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544493
—
LA
Enumeration date
12/07/2005
Last updated
07/08/2007
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