Individual provider · NPI-1

Abdel Farid Abu Shamat, MD

Internal Medicine, Nephrology · Lake Charles, LA

NPI number1528053824
StatusActive
Last updated in NPPESNov 17, 2009

Details

NPI
1528053824
Entity type
Individual (NPI-1)
Name
Abdel Farid Abu Shamat
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 13, 2005
Last updated
Nov 17, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology11617RLAYes
207R00000X Internal Medicine11617RLA

Practice location

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5887

Phone 337-494-7090 · Fax 337-494-7040

Mailing address

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5887

Phone 337-494-7090 · Fax 337-494-7040

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