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Individual

DR. MUDDASSIR SANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2647 S SAINT ELIZABETH BLVD STE 220, GONZALES, LA 70737-5020
(225) 743-2345
(225) 743-2543
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 743-2345
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD.205323
LA
207L00000X
Anesthesiology Physician
P5886
TX
208VP0000X
Pain Medicine Physician
Primary
205323
LA

Other

Enumeration date
08/19/2008
Last updated
06/27/2022
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