Individual
RASHA MOUSSALLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
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) 626-0177
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
340861
LA
2084N0400X
Neurology Physician
340861
LA
2084N0600X
Clinical Neurophysiology Physician
340861
LA
Other
Enumeration date
09/06/2022
Last updated
09/06/2024
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