Provider Demographics
NPI:1750760195
Name:MUNIR, ABDULLAH BIN (MD)
Entity type:Individual
Prefix:MR
First Name:ABDULLAH BIN
Middle Name:
Last Name:MUNIR
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 1:6550 MAIN ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-4092
Mailing Address - Country:US
Mailing Address - Phone:225-654-1559
Mailing Address - Fax:225-654-6212
Practice Address - Street 1:6550 MAIN ST STE 1000
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-4092
Practice Address - Country:US
Practice Address - Phone:225-654-1559
Practice Address - Fax:225-654-6212
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2023-08-07
Deactivation Date:2016-01-13
Deactivation Code:
Reactivation Date:2016-02-18
Provider Licenses
StateLicense IDTaxonomies
LA337821207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology