Organization
PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
Active
Organization
PEDIATRIC CARDIOLOGY OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDAR M KATTASH M.D. (OWNER)
(337) 562-2293
Entity
Organization
Contact information
Practice address
2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4139
(337) 562-2293
(337) 562-1469
Mailing address
2005 SOUTHWOOD DR, LAKE CHARLES, LA 70605-4139
(337) 562-2293
(337) 562-1469
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
MD.12869R
LA
2080P0202X
Pediatric Cardiology Physician
Primary
MD.203075
LA
Other
Enumeration date
01/04/2007
Last updated
04/10/2017
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