Provider Demographics
NPI:1669464400
Name:MORSE, MALIKA (MD)
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:MORSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W. ESPLANADE AVE.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2473
Mailing Address - Country:US
Mailing Address - Phone:504-464-8712
Mailing Address - Fax:504-464-8711
Practice Address - Street 1:200 W ESPLANADE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2489
Practice Address - Country:US
Practice Address - Phone:504-464-8712
Practice Address - Fax:504-464-8711
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15073R207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00205561OtherRAILROAD MEDICARE #
LA1577464Medicaid
LA5237276OtherCIGNA
LA1945714OtherMEDICAID GROUP#
LA0861059OtherAETNA
LA1528261831OtherGROUP NPI
LA5D909OtherMEDICARE GROUP
LA5237276OtherCIGNA
LA1577464Medicaid