Individual
DR. MOSES MWESIGWA KITAKULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2309 E MAIN ST, SUITE 202, NEW IBERIA, LA 70560-4046
(337) 364-8500
(337) 364-8582
Mailing address
2309 EAST MAIN STREET, SUITE 202, NEW IBERIA, LA 70560-0000
(337) 364-8500
(337) 364-8582
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
11988R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02884893
—
NY
05
—
1533483
—
LA
01
—
204500950
BLUE SHIELD
NY
Enumeration date
06/04/2006
Last updated
05/17/2024
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