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KSR MEDICAL LLC
NPI 1346493269
Clinic/Center - Medical Specialty in Leesville, LA

Active since October 23, 2008
1015 W FERTITTA BLVD, LEESVILLE, LA 71446(337) 239-4130(337) 238-9030 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ksr Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSR MEDICAL LLC (NPI 1346493269) is a healthcare organization registered as a medical specialty in Leesville, Louisiana and active in the NPI registry since October 2008. The organization lists Khaled Mostafa Ghorab, Owner, as its authorized official.

NPPES Registry Identity

NPI1346493269
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameKSR MEDICAL LLC
Location Address1015 W FERTITTA BLVDLeesville, LA 71446-4646
Mailing Address1015 W Fertitta BlvdLeesville, LA 71446-4646 · (337) 239-4130 · Fax (337) 238-9030
Phone(337) 239-4130
Fax(337) 238-9030
Organization SubpartNo
Authorized OfficialKhaled Mostafa GhorabOwner · (337) 239-4130
Enumeration DateOctober 23, 2008
✔ NPI 1346493269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in LA · 202557
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1015 W FERTITTA BLVD, Leesville, LA 71446
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Other Identifiers 1

Other202557LA · Louisiana State Licence

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTERN LOUISIANA INTERNAL MEDICINE
Specialist
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130
GURU PRASAD GHANTA M.D.
Specialist
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130
DR. SUKREET RAJU M.B.B.S, MD
Surgery
1015 W FERTITTA BLVD
LEESVILLE, LA 71446
Vernon Parish (337) 239-4130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ksr Medical LLC's NPI number?

The NPI number for Ksr Medical LLC is 1346493269. It was assigned to this organization in the NPPES registry on October 23, 2008.

Where is Ksr Medical LLC located?

Ksr Medical LLC is located at 1015 W Fertitta Blvd, Leesville, LA 71446. The listed phone number is (337) 239-4130.

What is Ksr Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Ksr Medical LLC was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.