Individual
SHOMARI J OLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-7511
(504) 842-2644
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320583
LA
207R00000X
Internal Medicine Physician
P32680
MD
208M00000X
Hospitalist Physician
320583
LA
Other
Enumeration date
06/13/2016
Last updated
05/15/2024
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