Individual
DR. SHEHAB AZMY EBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 N CAUSEWAY BLVD, STE. 100, METAIRIE, LA 70002-6029
(504) 455-0500
(504) 455-3730
Mailing address
2701 N CAUSEWAY BLVD, METAIRIE, LA 70002-6029
(504) 455-0500
(504) 455-3730
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
13621R
LA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD13621R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424099
—
LA
Enumeration date
08/29/2005
Last updated
06/07/2017
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