Organization
HEART CLINIC OF HAMMOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHIATH MIKDADI M.D. (MANAGING MEMBER)
(225) 270-2733
Entity
Organization
Contact information
Practice address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 974-9278
(985) 542-6341
Mailing address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 974-9278
(985) 542-6341
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11934R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2142976
—
LA
Enumeration date
01/19/2011
Last updated
01/06/2017
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