Individual
HAYTHAM B. BISHARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
Mailing address
PO BOX 1891, MANY, LA 71449-1891
(318) 590-1301
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13078R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1553573
—
LA
Enumeration date
05/19/2006
Last updated
07/08/2007
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