Individual
DR. LOAY A MUFTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DABR
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
4401 COLONY PLZ, NEWPORT BEACH, CA 92660-6346
(949) 245-9995
(949) 706-2627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
320973
LA
2085R0202X
Diagnostic Radiology Physician
45629
TN
2085R0202X
Diagnostic Radiology Physician
55067
CT
2085R0202X
Diagnostic Radiology Physician
A86683
CA
2085R0202X
Diagnostic Radiology Physician
MD457434
PA
Other
Enumeration date
11/18/2005
Last updated
11/05/2019
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