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Individual

MOHAMAD ALLAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
155 HOSPITAL DR #301, LAFAYETTE, LA 70503-2846
(337) 234-7779
(337) 235-7246
Mailing address
155 HOSPITAL DR #301, LAFAYETTE, LA 70503-2846
(337) 234-7779
(337) 235-7246

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
201563
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021466
LA
Enumeration date
05/21/2007
Last updated
03/27/2008
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