Individual
AHMAD M A SHANABLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 AVENUE F, MARRERO, LA 70072-1940
(504) 341-1603
Mailing address
824 AVENUE F, MARRERO, LA 70072-1940
(504) 341-1603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11385R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1662453
—
LA
Enumeration date
03/14/2006
Last updated
03/31/2016
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