Organization
DIAGNOSTIC AND INTERVENTIONAL SPINAL CARE OF LOUISIANA
Active
Other names
DISC of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
KHADER SAMER FAYEZ SHAMIEH M.D. (PRESIDENT)
(844) 800-3472
Entity
Organization
Contact information
Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(844) 800-3472
(844) 355-3472
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(844) 800-3472
(844) 355-3472
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
12/03/2012
Last updated
04/07/2014
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