Basic Information
| Provider Information | |||||||||
| NPI: | 1336580133 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOHSEN | ||||||||
| FirstName: | ALA | ||||||||
| MiddleName: | MOUSA | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 HAWKINS DR | ||||||||
| Address2: | DEPT OF INTERNAL MEDICINE SE611 GH | ||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193564019 | ||||||||
| FaxNumber: | 3193538073 | ||||||||
| Practice Location | |||||||||
| Address1: | 4224 HOUMA BLVD STE 500 | ||||||||
| Address2: | |||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700062938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5044550842 | ||||||||
| FaxNumber: | 5044566737 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2013 | ||||||||
| LastUpdateDate: | 07/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 308832 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD-42972 | IA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0011X | 308832 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.