| Ahmad Shanableh M.d.inc, A Medical Corporation | |
|
824 Avenue F Marrero LA 70072-1940 | |
| (504) 341-1603 | |
| (504) 341-1641 |
| Full Name | Ahmad Shanableh M.d.inc, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 824 Avenue F, Marrero, Louisiana |
| Authorized Official Name and Position | Ahmad M Shanableh (OWNER/DIRECTOR) |
| Authorized Official Contact | 5043411603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Shanableh M.d.inc, A Medical Corporation 824 Avenue F Marrero LA 70072-1940 Ph: (504) 341-1603 | Ahmad Shanableh M.d.inc, A Medical Corporation 824 Avenue F Marrero LA 70072-1940 Ph: (504) 341-1603 |
| NPI Number | 1558525238 |
|---|---|
| Provider Enumeration Date | 07/11/2008 |
| Last Update Date | 07/05/2023 |
| Medicare PECOS PAC ID | 8224198197 |
|---|---|
| Medicare Enrollment ID | O20081121000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558525238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahmad M Shanableh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790753945 PECOS PAC ID: 5698779874 Enrollment ID: I20060905000108 |
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