Individual
NASHAT M KHANFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3116 KILPATRICK BLVD, MONROE, LA 71201
(318) 410-9898
(318) 807-9002
Mailing address
130 DESIARD ST, STE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-9997
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13306R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559067
—
LA
Enumeration date
07/19/2005
Last updated
09/07/2011
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