Organization
THE RETINA INSTITUTE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEHAB A. EBRAHIM M.D. (PRINCIPAL PROVIDER)
(504) 455-0500
Entity
Organization
Contact information
Practice address
2701 N CAUSEWAY BLVD, METAIRIE, LA 70002-6029
(504) 455-0500
(504) 455-3730
Mailing address
2701 N CAUSEWAY BLVD, METAIRIE, LA 70002-6029
(504) 455-0500
(504) 455-3730
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13621R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424099
—
LA
Enumeration date
05/22/2006
Last updated
09/19/2014
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