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NPI Code Detail

MEDICARE: MOHAMED ELKERSH MD

MEDICARE: MOHAMED ELKERSH MD
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianMD.15437RLA

Other Identifiers

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

General Provider Information

NPI Number : 1366475493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ELKERSH MD
Provider Business Mailing Address
First Line : 42131 VETERANS AVE
Second Line : STE. 100
City : HAMMOND
State : LA
Zip : 70403-1428
Country : US
Telephone Number : 985-345-7246
Fax Number : 985-345-7249
Provider Business Practice Location Address
First Line : 42131 VETERANS AVE
Second Line : STE. 100
City : HAMMOND
State : LA
Zip : 70403-1428
Country : US
Telephone Number : 985-345-7246
Fax Number : 985-345-7249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/14/2011

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Directions to “ MOHAMED ELKERSH MD” Practice Location

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