Individual
ELIAS MOUSSALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 230, LAFAYETTE, LA 70508-8800
(337) 470-2739
(337) 235-5474
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-2739
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
324286
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2553739
—
LA
Enumeration date
06/17/2014
Last updated
06/30/2022
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