Individual
SHANE PAUL PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 DUNN ST, HOUMA, LA 70360-4440
(985) 876-0300
(985) 876-5529
Mailing address
225 DUNN ST, HOUMA, LA 70360-4440
(985) 876-0300
(985) 876-5529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.206244
LA
207R00000X
Internal Medicine Physician
MD.35013
AL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
206244
LA
207RC0000X
Cardiovascular Disease Physician
206244
LA
207RI0011X
Interventional Cardiology Physician
206244
LA
207RI0011X
Interventional Cardiology Physician
MD.35013
AL
Other
Enumeration date
03/20/2012
Last updated
08/19/2021
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