Individual
DR. SIBY GEORGE AYALLOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 WAYNE GILMORE CIR STE 450, OPELOUSAS, LA 70570
(337) 942-3006
(337) 942-7744
Mailing address
1233 WAYNE GILMORE CIR STE 450, OPELOUSAS, LA 70570-6405
(337) 942-3006
(337) 942-7744
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
203045
LA
207RC0000X
Cardiovascular Disease Physician
MD203045
LA
207RC0000X
Cardiovascular Disease Physician
P4544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01035899
—
MS
05
—
1077160
—
LA
Enumeration date
07/25/2007
Last updated
07/05/2018
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