Individual
ALI M AMKIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 LAKEVIEW CIRCLE, COVINGTON, LA 70433
(985) 871-0735
(985) 892-1013
Mailing address
PO BOX 8987, MANDEVILLE, LA 70470-8987
(985) 871-0735
(985) 892-1013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
09733R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118934
—
MS
05
—
1691275
—
LA
Enumeration date
06/01/2005
Last updated
10/08/2009
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