Ahmed Mamilly, MD | |
501 Medical Center Dr Ste 3a, Alexandria, LA 71301-8124 | |
(318) 484-3899 | |
(318) 484-3887 |
Full Name | Ahmed Mamilly |
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Gender | Male |
Speciality | Pediatrics |
Location | 501 Medical Center Dr Ste 3a, Alexandria, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043599509 | NPI | - | NPPES |
2157566 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 207399 (Louisiana) | Primary |
Entity Name | Columbus Radiology Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
Mailing Address | Practice Location Address |
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Ahmed Mamilly, MD 501 Medical Center Dr Ste 3a, Alexandria, LA 71301-8124 Ph: (318) 484-3899 | Ahmed Mamilly, MD 501 Medical Center Dr Ste 3a, Alexandria, LA 71301-8124 Ph: (318) 484-3899 |
Zulma Nahir Laracuente, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 176 Versailles Blvd, Alexandria, LA 71303 Phone: 318-445-9331 Fax: 318-619-6899 | |
Dr. John N. Rhodes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2226 Worley Dr, Alexandria, LA 71301 Phone: 318-443-9634 Fax: 318-443-9809 | |
Dr. Blaine Mark Broussard, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 176 Versailles Blvd, Alexandria, LA 71303 Phone: 318-445-9331 Fax: 318-619-6899 | |
Dr. Yasser M Nakhlawi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3311 Prescott Rd, Suite 210, Alexandria, LA 71301 Phone: 318-487-1477 Fax: 318-442-5814 | |
Dr. Sonji Joell Chinagozi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3807 Prescott Road, Alexandria, LA 71301 Phone: 318-528-8902 Fax: 318-528-8901 | |
Dr. Marcia Elaine Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 221 Pecan Park Ave, Alexandria, LA 71303 Phone: 318-487-1602 Fax: 318-487-1603 |