Individual
MOKHTAR ABDALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8585 PICARDY AVE, SUITE 114, BATON ROUGE, LA 70809-3748
(917) 912-9768
Mailing address
8585 PICARDY AVE, SUITE 114, BATON ROUGE, LA 70809-3748
(917) 912-9768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.207010
LA
207RI0011X
Interventional Cardiology Physician
Primary
MD.207010
LA
208M00000X
Hospitalist Physician
MD.207010
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374109
—
LA
Enumeration date
03/07/2014
Last updated
01/17/2025
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