Individual
DR. RAOUL JAMES MANALAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.206928
LA
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
MD.206928
LA
208M00000X
Hospitalist Physician
MD.206928
LA
Other
Enumeration date
04/13/2010
Last updated
01/19/2021
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