Individual
MR. IBRAHIM ALSHAHROURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1800 RYAN ST STE 105, LAKE CHARLES, LA 70601-6078
(337) 439-4706
(337) 439-8110
Mailing address
1800 RYAN ST STE 105, LAKE CHARLES, LA 70601-6078
(337) 439-4706
(337) 439-8110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101264403
VA
2085R0202X
Diagnostic Radiology Physician
Primary
303115
LA
Other
Enumeration date
07/08/2013
Last updated
08/02/2021
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