Amusa, Kweli Johari
Amusa, Kweli Johari is an individual health care provider with primary practice located at 2735 Highway 190 Suite D, Mandeville LA 70471-3433. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Amusa, Kweli Johari can be contacted via phone (985) 778-2510.Contact Information
Primary practice address
2735 Highway 190 Suite D
Mandeville LA 70471-3433
Phone: (985) 778-2510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10977 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.06700R | Louisiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.06700R | Louisiana |
Profile Details
| NPI number | 1447305768 |
|---|---|
| LBN Legal business name | Amusa, Kweli Johari |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 26th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447305768 | NPPES |
| Mississippi | MEDICAID | 00126584 | |
| Mississippi | Other | P00808485 | |
| Mississippi | MEDICAID | 1352136 | |
| Mississippi | Other | 4274592 |
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