Organization
WAGIH R MANDO, MD FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAGIH R MANDO MD (OWNER)
(504) 464-8619
Entity
Organization
Contact information
Practice address
200 W ESPLANADE AVE, STE 410, KENNER, LA 70065-2489
(504) 464-8619
Mailing address
200 W ESPLANADE AVE, STE 410, KENNER, LA 70065-2489
(504) 464-8619
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
09630R
LA
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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