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Individual

DR. FAYEZ KHADER SHAMIEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
1191442
LA
Enumeration date
10/13/2006
Last updated
07/11/2007
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