# NORTHSHORE REDI-MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Redimed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295050599
- **Authorized official:** MOHAMMAD NAEEM AO (OWNER)
- **Authorized official phone:** (985) 626-3470

## Contact information

- **Practice address:** 4430 HWY 22, MANDEVILLE, LA 70471
- **Practice address phone:** (985) 626-3470
- **Practice address fax:** (985) 674-5377
- **Mailing address:** 4430 HWY 22, MANDEVILLE, LA 70471
- **Mailing address phone:** (985) 626-3470
- **Mailing address fax:** (985) 674-5377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10199R | LA | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 10/01/2024