Individual
DR. CHIZOBA N MOSIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF ANESTHESIOLOGY, LSUHSC, SHREVEPORT, LA 71103-4228
(706) 495-0934
Mailing address
211 MAGNOLIA XING, BOSSIER CITY, LA 71111-5455
(706) 495-0934
(318) 828-4038
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0068052
MD
282N00000X
General Acute Care Hospital
D0068052
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060540
STATE OF GEORGIA, COMPOSITE STATE BOARD OF MEDICAL EXAMINERS
GA
05
—
1807664
—
LA
05
—
208123401
—
TX
01
—
30536
STATE OF SOUTH CAROLINA, LABOR, LICENSING, REGULATION. BOARD OF MEDICAL EXAMINER
SC
01
—
D0068052
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
04/04/2007
Last updated
04/22/2013
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