Individual
MR. MAMDOUH GIRGIS MICKAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 N 16TH ST, MER ROUGE, LA 71261-9726
(318) 239-8010
(318) 647-3909
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07043R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358959
—
LA
Enumeration date
01/02/2007
Last updated
03/20/2025
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