Individual
WASSIM E MOUANNES
Active
Individual
WASSIM E MOUANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18406
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09300503
—
MS
05
—
1782289
—
LA
01
—
640507572YS
AMERICAN ADMIN GROUP
MS
01
—
P00249340
RAILROAD MEDICARE
—
Enumeration date
08/20/2006
Last updated
08/23/2016
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