Individual
SHAZA R MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 MEDICAL CENTER BLVD, 4 WEST, MARRERO, LA 70072
(504) 349-1656
(504) 349-1933
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: MEDICAL STAFF OFFICE, MARRERO, LA 70072
(504) 349-1297
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.305408
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
03/13/2018
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