Individual
DR. POUYAN SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1401A JEFFERSON HWY, JEFFERSON, LA 70121-2426
(504) 842-3260
Mailing address
800 N CAUSEWAY BLVD APT 203, METAIRIE, LA 70001-5363
(816) 394-1788
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
347759
LA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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