Individual provider · NPI-1

Mokhtar Abdallah

Internal Medicine, Interventional Cardiology · Baton Rouge, LA

NPI number1285050799

StatusActive

Last updated in NPPESJan 17, 2025

Details

NPI: 1285050799
Entity type: Individual (NPI-1)
Name: Mokhtar Abdallah
Sex: Male
Sole proprietor: No
Enumeration date: Mar 7, 2014
Certification date: Jan 17, 2025
Last updated: Jan 17, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RI0011X	Internal Medicine, Interventional Cardiology	MD.207010	LA	Yes
207R00000X	Internal Medicine	MD.207010	LA
208M00000X	Hospitalist	MD.207010	LA

Practice location

8585 Picardy Ave
Suite 114
Baton Rouge, LA 70809-3748

Phone 917-912-9768

Mailing address

8585 Picardy Ave
Suite 114
Baton Rouge, LA 70809-3748

Phone 917-912-9768

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