Provider Demographics
NPI:1508887522
Name:ALI, JUZAR (MD,FRCP, FCCP(C))
Entity Type:Individual
Prefix:
First Name:JUZAR
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD,FRCP, FCCP(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 POYDRAS ST
Mailing Address - Street 2:SUITE 1640
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-1221
Mailing Address - Country:US
Mailing Address - Phone:504-412-1835
Mailing Address - Fax:
Practice Address - Street 1:1450 POYDRAS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-6010
Practice Address - Country:US
Practice Address - Phone:504-903-1932
Practice Address - Fax:504-903-2023
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4166R207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04086534Medicaid
LA1922528Medicaid
LA5N724Medicare PIN
LA1922528Medicaid
LA290011331Medicare PIN
LA5N724F669Medicare PIN