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Individual

DR. KASIMU SENGHOR MOODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
73153 MILITARY RD, COVINGTON, LA 70435-6054
(985) 626-6133
(985) 626-6136
Mailing address
111 GATEWAY DR, LAFAYETTE, LA 70506-7689
(337) 273-2588

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD-55687
IA
207Q00000X
Family Medicine Physician
Primary
14802R
LA

Other

Enumeration date
06/19/2006
Last updated
12/22/2025
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