Individual
DR. HOSSAM ABOU-TALEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448
(985) 626-6300
(985) 626-6467
Mailing address
23515 HIGHWAY 190, MANDEVILLE, LA 70448
(985) 626-6300
(985) 626-6467
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
016900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043264351
FACILITY NPI
LA
05
—
1710059
—
LA
Enumeration date
03/19/2007
Last updated
07/09/2007
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