Basic Information
Provider Information
NPI: 1275776254
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL ZOGHBY
FirstName: MARIA
MiddleName: LAHOUD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 54482
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701544482
CountryCode: US
TelephoneNumber: 9858984451
FaxNumber: 9858984358
Practice Location
Address1: 1202 S TYLER ST
Address2:  
City: COVINGTON
State: LA
PostalCode: 704332330
CountryCode: US
TelephoneNumber: 9858984000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/07/2009
LastUpdateDate: 05/08/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD.207505LAN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X207505LAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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