RAJA M. MOUALLEM MD NPI 1346261369

NPI Information

NPI: 1346261369
Provider Name: RAJA M. MOUALLEM, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118
Phone: (504) 412-1835
Get Directions

Raja M. Mouallem, MD is a pediatric emergency medicine pediatrics in New Orleans, LA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Raja M. Mouallem, MD NPI is 1346261369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118-720
Phone: (504) 412-1835

The enumeration date for this NPI number is 7/22/2006 and was last updated on 12/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		011807	LOUISIANA	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	011807	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	09672573	MEDICAID	MISSISSIPPI
2	1330990	MEDICAID	LOUISIANA
3	F43759	MEDICARE UPIN
4	5M585	MEDICARE PIN	LOUISIANA
5	5M585F669	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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