Organization
PERVEZ MUSSARAT MD PMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERVEZ MUSSARAT M.D. (DOCTOR)
(985) 542-9441
Entity
Organization
Contact information
Practice address
15784 MEDICAL ARTS DR, SUITE A, HAMMOND, LA 70403-1446
(985) 542-9441
(985) 542-9414
Mailing address
15784 MEDICAL ARTS DR, SUITE A, HAMMOND, LA 70403-1446
(985) 542-9441
(985) 542-9414
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08635R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932396
—
LA
Enumeration date
01/22/2008
Last updated
01/22/2008
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