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Individual

AMIN ELMALAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2503 BROADMOOR BLVD, MONROE, LA 71201-2987
(318) 388-6050
(318) 388-3204
Mailing address
PO BOX 4966, MONROE, LA 71211-4966
(318) 388-6050
(318) 998-3017

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12568R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437719
LA
01
P00259854
RAILROAD MEDICARE
LA
Enumeration date
06/23/2006
Last updated
10/11/2022
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