MEDICARE: CAMILLE NASIM BITAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	15537	MS
2	2080P0208X	Pediatric Infectious Diseases Physician	MD.09189R	LA
3	207RI0200X	Infectious Disease Physician	09189R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	370010228	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346231834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILLE NASIM BITAR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 608
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70459-0608
Country	:	US
Telephone Number	:	985-643-0075
Fax Number	:	985-646-0430

Provider Business Practice Location Address
First Line	:	7015 HIGHWAY 190 EAST SERVICE RD STE 200
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-4960
Country	:	US
Telephone Number	:	985-643-0075
Fax Number	:	985-643-0430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/11/2024

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Directions to “ CAMILLE NASIM BITAR M.D.” Practice Location

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