Healthcare Provider Details

I. General information

NPI: 1154064368
Provider Name (Legal Business Name): SANA MOQEET DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42440 PELICAN PROFESSIONAL PARK
HAMMOND LA
70403-2403
US

IV. Provider business mailing address

PO BOX 2668
HAMMOND LA
70404-2668
US

V. Phone/Fax

Practice location:
  • Phone: 985-542-4950
  • Fax: 985-542-6089
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number353793
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125080914
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: