Individual
KHALIL YOUSEF IMSAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 SAINT ANDREW ST, NEW ORLEANS, LA 70130-5022
(504) 529-5558
Mailing address
212 CANE BAYOU LN, KENNER, LA 70065-6627
(504) 443-3589
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD04199R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180823
—
LA
Enumeration date
11/28/2005
Last updated
12/22/2008
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