Individual
ANWAR ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4113 WILLIAMS BLVD., KENNER, LA 70065
(504) 464-1021
(504) 464-1022
Mailing address
PO BOX 641268, KENNER, LA 70064-1268
(504) 464-1021
(504) 464-1022
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
11631R
LA
2084P0800X
Psychiatry Physician
Primary
11631R
LA
2084P0800X
Psychiatry Physician
K1842
TX
2084P0804X
Child & Adolescent Psychiatry Physician
11631R
LA
2084P0805X
Geriatric Psychiatry Physician
11631R
LA
Other
Enumeration date
06/29/2006
Last updated
03/22/2019
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