Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 324894 | LA |
Y | 2086X0206X | Surgical Oncologist | 324894 | LA |
NPI | 1659807972 |
---|---|
Provider Name | Dr. Mohamed Ahmed Shama |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2017 |
Last Update Date | 03/11/2020 |