TAWFIK M. MUKHTAR-BENGHOZI (NPI# 1790774081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790774081 |
| Entity Type | Individual |
| Full Name | TAWFIK M. MUKHTAR-BENGHOZI |
| Other Name | TAWFIK BENGHOZI |
| Practice Address |
5920 Coliseum Blvd. Alexandria LA 71303-3714 |
| Mailing Address |
6213 Tennyson Oaks Ln Alexandria LA 71301-2759 |
| Practice Telephone | 3184439339 |
| Practice Fax Number | 3184439116 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2010-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
08698R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1926213 | 05 | |
| DEA NUMBER | BM2019823 | 01 | |
| LA | LOUISIANA MEDICAL LICENSE | 08698R | 01 |
| Street Address |
5920 COLISEUM BLVD. |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1043264351 | Ness Healthcare Nfp | Psychiatry & Neurology | 23515 Hwy 190, Mandeville, LA 70448 | 2006-05-20 |
| 1912950957 | Jeri Lynn Rasch | Psychiatry & Neurology | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-05-19 |
| 1790751642 | Connie Hale | Psychiatry & Neurology | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2006-02-28 |
| 1922546035 | Browers, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2017-02-09 |
| 1912226697 | Olufemi Ademola Ogundeji | Psychiatry & Neurology | 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101-4103 | 2010-05-20 |
| 1528254257 | Acadia Hospital of Lafayette, LLC | Psychiatry & Neurology | 2520 N University Ave, Lafayette, LA 70507-5306 | 2007-09-17 |
| 1699700880 | George W. Diggs Jr. | Psychiatry & Neurology | 302 Dulles Dr, Suite 1, Lafayette, LA 70506-3008 | 2006-07-12 |
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on TAWFIK M. MUKHTAR-BENGHOZI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.