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General NPI Number Information
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NPI Number | 1881696086
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Entity Type | Individual
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Provider Name | ALI M AMKIEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 141 LAKEVIEW CIRCLE
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-871-0735
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Fax | 985-892-1013
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Provider Business Mailing Address
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Address Line | PO BOX 8987
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City | MANDEVILLE
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State | LA
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Zip | 70470-8987
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Country | US
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Telephone | 985-871-0735
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Fax | 985-892-1013
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 09733R
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License Number State | LA
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