Mouallem, Raja M.

Mouallem, Raja M. is an individual health care provider with primary practice located at 200 Henry Clay Ave , New Orleans LA 70118-5720. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Mouallem, Raja M. can be contacted via phone (504) 412-1835.

Contact Information

Primary practice address
200 Henry Clay Ave New Orleans LA 70118-5720
Phone: (504) 412-1835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 011807 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 011807 Louisiana

Profile Details

NPI number 1346261369
LBN Legal business name Mouallem, Raja M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 15th, 2010 - about 15 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 1346261369 NPPES
Mississippi MEDICAID 09672573
Mississippi MEDICAID 1330990

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