Bezou, Andre Raoul

Bezou, Andre Raoul is an sole proprietor health care provider with primary practice located at 4227 Lakeshore Dr , Mandeville LA 70448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bezou, Andre Raoul can be contacted via phone (985) 892-8088.

Contact Information

Primary practice address
4227 Lakeshore Dr Mandeville LA 70448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 013197 Louisiana

Profile Details

NPI number 1992836571
LBN Legal business name Bezou, Andre Raoul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992836571 NPPES
Louisiana MEDICAID 1161179

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