Abdelbaqi, Maisoun

Abdelbaqi, Maisoun is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pathology, Shreveport LA 71103-4228. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Abdelbaqi, Maisoun can be contacted via phone (318) 675-5000.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pathology Shreveport LA 71103-4228
Phone: (318) 675-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1770784894
LBN Legal business name Abdelbaqi, Maisoun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated May 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770784894 NPPES
Louisiana MEDICAID 01045

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