Individual
WISSAM BASSEL JAMIL HANAYNEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY STE 230, LAFAYETTE, LA 70508-8800
(337) 470-2739
(337) 470-2739
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
336875
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2017
Last updated
06/12/2023
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