Moussaly, Elias

Moussaly, Elias is an individual health care provider with primary practice located at 4809 Ambassador Caffery Pkwy Ste 230 , Lafayette LA 70508-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Moussaly, Elias can be contacted via phone (337) 470-2739.

Contact Information

Primary practice address
4809 Ambassador Caffery Pkwy Ste 230 Lafayette LA 70508-8800
Phone: (337) 470-2739
Fax: (337) 235-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 324286 Louisiana

Profile Details

NPI number 1629482740
LBN Legal business name Moussaly, Elias
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2014
Last updated Jun 30th, 2022 - about 2 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 1629482740 NPPES
Louisiana MEDICAID 2553739

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