Eissa, Hazem
Eissa, Hazem is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Eissa, Hazem can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD.12613R | Louisiana |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD.12613R | Louisiana |
Profile Details
| NPI number | 1649238734 |
|---|---|
| LBN Legal business name | Eissa, Hazem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649238734 | NPPES |
| Louisiana | MEDICAID | 1541303 | |
| Louisiana | MEDICAID | 07081263 |
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