MEDICARE: MALIKA MORSE 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
1	207RN0300X	Nephrology Physician	15073R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00205561	OTHER	LA	RAILROAD MEDICARE #
7	5D909	OTHER	LA	MEDICARE GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5237276	OTHER	LA	CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	0861059	OTHER	LA	AETNA
6	1528261831	OTHER	LA	GROUP NPI

General Provider Information

NPI Number	:	1669464400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIKA MORSE MD

Provider Business Mailing Address
First Line	:	200 W. ESPLANADE AVE.
Second Line	:	SUITE 103
City	:	KENNER
State	:	LA
Zip	:	70065-2473
Country	:	US
Telephone Number	:	504-464-8712
Fax Number	:	504-464-8711

Provider Business Practice Location Address
First Line	:	200 W ESPLANADE AVE
Second Line	:	SUITE 103
City	:	KENNER
State	:	LA
Zip	:	70065-2489
Country	:	US
Telephone Number	:	504-464-8712
Fax Number	:	504-464-8711

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	05/04/2017

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Directions to “ MALIKA MORSE MD” Practice Location

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