Ebrahim, Shehab Azmy

Ebrahim, Shehab Azmy is an sole proprietor health care provider with primary practice located at 2701 N Causeway Blvd Ste. 100, Metairie LA 70002-6029. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ebrahim, Shehab Azmy can be contacted via phone (504) 455-0500.

Contact Information

Primary practice address
2701 N Causeway Blvd Ste. 100 Metairie LA 70002-6029
Phone: (504) 455-0500
Fax: (504) 455-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13621R Louisiana
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD13621R Louisiana

Profile Details

NPI number 1578556213
LBN Legal business name Ebrahim, Shehab Azmy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2005
Last updated Jun 7th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578556213 NPPES
Louisiana MEDICAID 1424099

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