Mukhtar-Benghozi, Tawfik M.
Mukhtar-Benghozi, Tawfik M. is an sole proprietor health care provider with primary practice located at 5920 Coliseum Blvd. , Alexandria LA 71303-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as his primary health care specialty. Mukhtar-Benghozi, Tawfik M. can be contacted via phone (318) 443-9339.Contact Information
Primary practice address
5920 Coliseum Blvd.
Alexandria LA 71303-3714
Phone: (318) 443-9339
Fax: (318) 443-9116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 08698R | Louisiana |
Profile Details
| NPI number | 1790774081 |
|---|---|
| LBN Legal business name | Mukhtar-Benghozi, Tawfik M. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1790774081 | NPPES |
| Louisiana | MEDICAID | 1926213 | |
| Louisiana | Other | 08698R |
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