Individual
RAMIN SHAHLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2837 ERNEST STREET, CALCACIEN OAK HOSPITAL, LAKE CHARLES, LA 70601
(337) 439-8111
(337) 439-1970
Mailing address
PO BOX 2262, LAKE CHARLES, LA 70602
(504) 236-1525
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12273R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485799
—
LA
Enumeration date
09/25/2006
Last updated
07/08/2007
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