Ksr Medical Llc

LBN: Ksr Medical Llc
Ksr Medical Llc is an health care organization with primary practice located at 1015 W Fertitta Blvd , Leesville LA 71446-4646. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Ksr Medical Llc can be contacted via phone (337) 239-4130, or through Ghorab, Khaled Mostafa via phone (337) 239-4130.

Contact Information

Primary practice address
1015 W Fertitta Blvd Leesville LA 71446-4646
Phone: (337) 239-4130
Fax: (337) 238-9030
Website:
Map and Directions
Authorized official contact:
Name: Ghorab, Khaled Mostafa Doctor of Medicine (MD)
Phone: (337) 239-4130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 202557 Louisiana

Profile Details

NPI number 1346493269
LBN Legal business name Ksr Medical Llc
DBA Doing business as
Authorized official Ghorab, Khaled Mostafa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2008
Last updated Oct 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346493269 NPPES
Louisiana Other 202557 LOUISIANA STATE LICENCE

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