Kattash, Mudar
Kattash, Mudar is an individual health care provider with primary practice located at 2005 Southwood Dr , Lake Charles LA 70605-4139. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Kattash, Mudar can be contacted via phone (337) 562-2293.Contact Information
Primary practice address
2005 Southwood Dr
Lake Charles LA 70605-4139
Phone: (337) 562-2293
Fax: (337) 562-1469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 12869R | Louisiana |
Profile Details
| NPI number | 1174508741 |
|---|---|
| LBN Legal business name | Kattash, Mudar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174508741 | NPPES |
| Louisiana | MEDICAID | 1544493 |
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