| Elias Raymond Mounayar Md Llc | |
|
338 Moreau St Suite D Marksville LA 71351-2956 | |
| (318) 253-5600 | |
| (318) 253-5602 |
| Full Name | Elias Raymond Mounayar Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 338 Moreau St, Marksville, Louisiana |
| Authorized Official Name and Position | Elias Raymond Mounayar (SOLE MBR/OWNER) |
| Authorized Official Contact | 3182535600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Raymond Mounayar Md Llc 158 King Arthur Dr Mansura LA 71350-4484 Ph: (318) 253-4814 | Elias Raymond Mounayar Md Llc 338 Moreau St Suite D Marksville LA 71351-2956 Ph: (318) 253-5600 |
| NPI Number | 1528359601 |
|---|---|
| Provider Enumeration Date | 04/25/2011 |
| Last Update Date | 04/25/2011 |
| Medicare PECOS PAC ID | 9739365271 |
|---|---|
| Medicare Enrollment ID | O20110517000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528359601 | NPI | - | NPPES |
| 1471771 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elias R Mounayar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861536963 PECOS PAC ID: 6305870478 Enrollment ID: I20050920000047 |
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