Dr Khaled Mustafa Ghorab, MD is a
Surgery physician based in Leesville, Louisiana. Dr Khaled Mustafa Ghorab is licensed to practice in Louisiana (license number 202557) and his current practice location is 700 S 6th St, Leesville, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(337) 238-6161.
NPI number for Dr Khaled Mustafa Ghorab is 1548394414 and his current mailing address is 700 S 6th St, Leesville, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548394414.
Physician's Profile
| Full Name | Dr Khaled Mustafa Ghorab |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 700 S 6th St, Leesville, Louisiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548394414
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/15/2013
Medical Identifiers
Medical identifiers for Dr Khaled Mustafa Ghorab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548394414 | NPI | - | NPPES |
| 202557 | Other | LA | LA LIC# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 202557 (Louisiana) | Primary |
| 208600000X | Surgery | C7-0003294 (Delaware) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Khaled Mustafa Ghorab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Khaled Mustafa Ghorab, MD 700 S 6th St, Leesville, LA 71446-4719 Ph: (337) 238-6161 | Dr Khaled Mustafa Ghorab, MD 700 S 6th St, Leesville, LA 71446-4719 Ph: (337) 238-6161 |
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