Louisiana Infectious Diseases Consultant, LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD205782 Issued in LA

Legal business name

LOUISIANA INFECTIOUS DISEASES CONSULTANT, LLC

Practice address

11010 Helens Way
Shreveport, LA 71106-9328

Phone

(318) 210-7139

NPI assigned

Aug 5, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Halim Abou Faycal, M.DNPI 1942241708

Title

Infectious Diseases

Phone

(318) 210-7139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halim Salim Abou-Faycal, MD

  • Infectious Disease Physician
  • Shreveport, LA
  • NPI 1942241708
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1821420514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11010 HELENS WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711069328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 HELENS WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711069328",
            "telephone_number": "318-210-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA INFECTIOUS DISEASES CONSULTANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "ABOU FAYCAL",
        "authorized_official_first_name": "HALIM",
        "authorized_official_title_or_position": "INFECTIOUS DISEASES",
        "authorized_official_telephone_number": "318-210-7139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "MD205782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.