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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOSTAFA HOTAIT, MD

Deactivated

MOSTAFA HOTAIT, MD is a 2084E0001X healthcare provider located in SHREVEPORT, Louisiana. NPI 1245852698 is deactivated in the NPPES registry. Verify at CMS.

2084E0001X · SHREVEPORT, LA

This NPI has been deactivated. The record was deactivated on January 11, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1245852698
Provider Type
Individual
Gender
Male
NPI Issued
May 8, 2020 (1.6794520547945 yrs)
Last Updated
Aug 26, 2024
Deactivated
Jan 11, 2022
Licenses
332761 (LA)
332761 (LA)

Practice Information

Address
1541 KINGS HWY
SHREVEPORT, LA, 711034228
Browse LA providers · Browse ZIP 71103
Phone
3186260000
Primary Specialty
2084E0001X
2084E0001X
Additional Specialty
2084E0001X

Other 2084E0001X Providers in SHREVEPORT, LA

Name Credential NPI
ROOHI KATYAL M.D. 1871944074
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.