Ghorab, Khaled Mustafa

Ghorab, Khaled Mustafa is an sole proprietor health care provider with primary practice located at 700 S 6Th St , Leesville LA 71446-4719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ghorab, Khaled Mustafa can be contacted via phone (337) 238-6161.

Contact Information

Primary practice address
700 S 6Th St Leesville LA 71446-4719
Phone: (337) 238-6161
Fax: (337) 238-0085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 202557 Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X C7-0003294 Delaware

Profile Details

NPI number 1548394414
LBN Legal business name Ghorab, Khaled Mustafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 15th, 2013 - about 13 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 1548394414 NPPES
Louisiana Other 202557 LA LIC#

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