Individual
ANDREA I MAHFOUZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE S-750, MARRERO, LA 70072
(504) 340-6976
(504) 349-6786
Mailing address
1514 JEFFERSON HWY, STE S-750, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10620
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32199
CDS
—
Enumeration date
06/18/2006
Last updated
03/07/2023
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