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ANWAR ISMAIL M.D.

Physicians Psychiatry & Neurology Addiction Medicine

Provider NPI: 1679501712

Provider Information:
 ANWAR  ISMAIL M.D.
Gender: M
Sole Proprietor

Practice Location:
4113 WILLIAMS BLVD.  KENNER, LA 70065 US
Tel: 504-464-1021  Fax: 504-464-1022

Business Mailing Address:
PO BOX 641268  KENNER, LA 70064-1268 US
Tel: 504-464-1021  Fax: 504-464-1022

NPI Information:
NPI: 1679501712
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2084A0401XPhysicians
Psychiatry & Neurology
Addiction Medicine
LA11631R
N2084P0800XPhysicians
Psychiatry & Neurology
TXK1842
N2084P0804XPhysicians
Psychiatry & Neurology
LA11631R
N2084P0805XPhysicians
Psychiatry & Neurology
LA11631R
Y2084P0800XPhysicians
Psychiatry & Neurology
LA11631R

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2084P0800X

Type:

Classification:



Definition:



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