Individual
MAURICE GABRIEL NASSAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 508, BATON ROUGE, LA 70808-4300
(225) 767-7388
(225) 767-7389
Mailing address
7777 HENNESSY BLVD, SUITE 508, BATON ROUGE, LA 70808-4300
(225) 767-7388
(225) 767-7389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
012357
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012357
STATE LICENSE
LA
01
—
04-00187
UNITED HEALTH
LA
05
—
1176893
—
LA
Enumeration date
05/03/2006
Last updated
07/08/2007
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