Provider Demographics
NPI:1750321394
Name:NASERI, SUHAIL (MD)
Entity Type:Individual
Prefix:
First Name:SUHAIL
Middle Name:
Last Name:NASERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17145 BRIDLE PATH
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-4781
Mailing Address - Country:US
Mailing Address - Phone:504-486-5807
Mailing Address - Fax:985-878-1431
Practice Address - Street 1:52579 HIGHWAY 51 SOUTH
Practice Address - Street 2:LALLIE KEMP HOSPITAL
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443
Practice Address - Country:US
Practice Address - Phone:985-878-9421
Practice Address - Fax:985-878-1431
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA03804R208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery