Individual
EFFAT RASUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601
(337) 430-4455
(337) 430-4454
Mailing address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 430-4455
(337) 430-4454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD207731
LA
390200000X
Student in an Organized Health Care Education/Training Program
MT196599
PA
Other
Enumeration date
06/25/2010
Last updated
07/05/2018
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