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Individual

MOHAMAD DEYA'ALDIN ABDALAH ALMANSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8415 GOODWOOD BLVD SUITE 202, PAC/PEDIATRIC ACADEMIC CLINIC, BATON ROUGE, LA 70806
(225) 765-8013
(225) 765-2033
Mailing address
8300 CONSTANTIN BLVD, 2ND FLOOR ADMINISTRATION, PRP OFFICE, BATON ROUGE, LA 70809
(225) 374-1317
(225) 374-1611

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/11/2026
Last updated
05/11/2026
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