Individual
PAUL KHALED DIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 CORPORATE BLVD, LAFAYETTE, LA 70508-3850
(337) 942-1151
Mailing address
PO BOX 51742, LAFAYETTE, LA 70505-1742
(337) 942-1151
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
11220R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1665169
—
LA
Enumeration date
06/11/2005
Last updated
05/01/2023
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