Individual
HAZEM EISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.12613R
LA
208100000X
Physical Medicine & Rehabilitation Physician
MD.12613R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07081263
—
MS
05
—
1541303
—
LA
Enumeration date
05/01/2006
Last updated
05/08/2017
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