Organization
FAYEZ K. SHAMIEH, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ K SHAMIEH M.D. (PRESIDENT)
(337) 433-0762
Entity
Organization
Contact information
Practice address
707 S RYAN ST, LAKE CHARLES, LA 70601-5728
(337) 433-0762
(337) 433-4868
Mailing address
707 S RYAN ST, LAKE CHARLES, LA 70601-5728
(337) 433-0762
(337) 433-4868
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
15000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949973
—
LA
Enumeration date
07/18/2007
Last updated
08/19/2008
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