Individual
MOSTAFA HOTAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
332761
LA
2084N0400X
Neurology Physician
332761
LA
Other
Enumeration date
05/08/2020
Last updated
08/26/2024
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