Doctor Name: | PERVEZ MUSSARAT |
NPI Number: | 1134121999 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 08635R |
Business Practice Address: | 15784 Medical Arts Dr Suite A Hammond, LA - 704031446 |
Business Phone Number: | 9855429441 |
Business Fax Number: | 9855429414 |
Mailing Address: | 15784 Medical Arts Dr, Suite A HAMMOND |
State: | LA |
Postal Code: | 704031446 |
Phone Number: | 9855429441 |
Fax Number: | 9855429414 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 08635R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |