Individual
KHADER SAMER-FAYEZ SHAMIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(844) 800-3472
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(844) 800-3472
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
202211
LA
207X00000X
Orthopaedic Surgery Physician
44456
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07910
—
LA
Enumeration date
05/24/2007
Last updated
04/07/2014
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