Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 09189R | LA |
N | 207RI0200X | Infectious Disease | 15537 | MS |
N | 2080P0208X | Pediatric Infectious Diseases | MD.09189R | LA |
NPI | 1346231834 |
---|---|
Provider Name | Kamil Nasim Bitar |
First Address | Slidell, LA 70459-0608 |
Second Address | Covington, LA 70433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 06/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001098501 | (05) | DE |
00118407 | (05) | MS |
1994961 | (05) | LA |
370010228 | RAILROAD MEDICARE (01) | LA |
590371 | (02) |