Organization
ADVANCED NORTHSHORE NEUROSURGICAL INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ALMUBASLAT M.D. (OWNER MEMBER)
(985) 400-3210
Entity
Organization
Contact information
Practice address
71380 HIGHWAY 21, 104, COVINGTON, LA 70433-7245
(985) 400-3210
(855) 553-6931
Mailing address
71380 HIGHWAY 21, 104, COVINGTON, LA 70433-7245
(985) 400-3210
(855) 553-6931
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
04/04/2012
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