Provider Demographics
NPI:1639929391
Name:KHALED, MUNIRA EYAD
Entity Type:Individual
Prefix:
First Name:MUNIRA
Middle Name:EYAD
Last Name:KHALED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10328 BROWNING DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-4716
Mailing Address - Country:US
Mailing Address - Phone:225-397-8811
Mailing Address - Fax:
Practice Address - Street 1:10328 BROWNING DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-4716
Practice Address - Country:US
Practice Address - Phone:225-397-8811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program