Individual
GASSAN MITRI CHAIBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
814 W MCNEESE ST STE 100, LAKE CHARLES, LA 70605-5426
(337) 602-8686
(337) 419-1997
Mailing address
814 W MCNEESE ST STE 100, LAKE CHARLES, LA 70605-5426
(337) 602-8686
(337) 419-1997
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD.206152
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05425346
—
MS
05
—
2339869
—
LA
Enumeration date
06/23/2008
Last updated
08/24/2022
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