Individual
DR. GHALI ELIAS GHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118
(318) 212-5254
(318) 212-5257
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118
(318) 212-5254
(318) 212-5257
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4998
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11531R
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
15501
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4998
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
J8547
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD11531R
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
11531R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1899496
—
LA
Enumeration date
07/10/2006
Last updated
02/02/2022
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