Provider Demographics
NPI:1023009784
Name:SAQER, JAMAL GHAZI (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMAL
Middle Name:GHAZI
Last Name:SAQER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 122539 DEPT 2539
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75312-0001
Mailing Address - Country:US
Mailing Address - Phone:337-494-2921
Mailing Address - Fax:337-494-6523
Practice Address - Street 1:2750 ASTER ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-8824
Practice Address - Country:US
Practice Address - Phone:337-480-8900
Practice Address - Fax:337-480-8901
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA12000R2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1694541Medicaid
LAG50882Medicare UPIN
LA5Y295Medicare ID - Type Unspecified