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Organization

NORTHLAKE RHEUMATOLOGY, PMLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALIK C SPADY MD (PHYICIAN)
(985) 340-7900
Entity
Organization

Contact information

Practice address
15752 MEDICAL ARTS DR, STE. 100, HAMMOND, LA 70403-1446
(985) 340-7900
(985) 340-0944
Mailing address
15752 MEDICAL ARTS DR, STE. 100, HAMMOND, LA 70403-1446
(985) 340-7900
(985) 340-0944

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
025536
LA

Other

Enumeration date
04/18/2007
Last updated
01/09/2013
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