Individual
TAWFIK M. MUKHTAR-BENGHOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5920 COLISEUM BLVD., ALEXANDRIA, LA 71303-3714
(318) 443-9339
(318) 443-9116
Mailing address
6213 TENNYSON OAKS LN, ALEXANDRIA, LA 71301-2759
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
08698R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08698R
LOUISIANA MEDICAL LICENSE
LA
05
—
1926213
—
LA
Enumeration date
10/19/2005
Last updated
03/07/2023
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