Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | MD.08505R | LA |
NPI | 1861440380 |
---|---|
Provider Name | Dr. Samir S El Dahr |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 17/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1901563 | (05) | LA |
E78011 | (02) |