Amusa, Kweli Johari

Amusa, Kweli Johari is an individual health care provider with primary practice located at 2735 Highway 190 Suite D, Mandeville LA 70471-3433. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Amusa, Kweli Johari can be contacted via phone (985) 778-2510.

Contact Information

Primary practice address
2735 Highway 190 Suite D Mandeville LA 70471-3433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10977 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.06700R Louisiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.06700R Louisiana

Profile Details

NPI number 1447305768
LBN Legal business name Amusa, Kweli Johari
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 26th, 2017 - about 7 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 1447305768 NPPES
Mississippi MEDICAID 00126584
Mississippi Other P00808485
Mississippi MEDICAID 1352136
Mississippi Other 4274592

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