Individual
MOUSTAFA NACHABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5852
(985) 785-5811
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5852
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD10655R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444642
—
LA
05
—
1452904
—
LA
05
—
1579483
—
LA
05
—
1925349
—
LA
05
—
1990078
—
LA
Enumeration date
04/05/2006
Last updated
08/13/2009
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