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Contact Information

RAJA M MOUALLEM, MD
200 HENRY CLAY AVE
NEW ORLEANS, LA70118-5720
 Phone: 504-412-1835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RAJA M MOUALLEM · (Female)

NPI Number 1346261369
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2006
Last updated 12/15/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 011807
  • LA Medicaid 1330990
  • MS Medicaid 09672573
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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