HOSSAM ABDELMONEM ABDEL-RAHMAN (NPI# 1164485173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164485173 |
Entity Type | Individual |
Full Name | HOSSAM ABDELMONEM ABDEL-RAHMAN |
Credential | MEDIAL DOCTOR |
Practice Address |
803 Poinciana Ave Mamou LA 70554 |
Practice Telephone | 3374683099 |
Practice Fax Number | 3374683083 |
Mailing Telephone | 3374683099 |
Mailing Fax Number | 3374683083 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
12356R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1538485 | 05 |
Street Address |
803 POINCIANA AVE |
City | MAMOU |
State | LA |
Zip Code | 70554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326349580 | Savoy Medical Management Group, Inc | Clinic/Center | 803 Poinciana Ave, Mamou, LA 70554-2201 | 2010-11-04 |
1821034364 | Francisco Cantu | Family Medicine | 803 Poinciana Ave, Mamou, LA 70554-2201 | 2006-06-22 |
1144277591 | Frank P Savoy Jr Cancer Center | Clinic/Center | 803 Poinciana Ave, Mamou, LA 70554-2201 | 2006-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891328498 | Sarah Marie Thibodeaux | Behavioral Analyst | 601 Poinciana Avenue, Mamou, LA 70554 | 2020-02-21 |
1942739404 | Lisa Jack | Counselor | 613 East St, Mamou, LA 70554 | 2017-06-08 |
1225359136 | Juanita Golemon Moorman | Social Worker | 1610 6th St, Mamou, LA 70554 | 2010-06-15 |
1265730485 | Savoy Medical Management Group, Inc | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2011-03-11 |
1760714497 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2010-02-05 |
1477882033 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-12-10 |
1144557927 | Savoy Medical Management Group, Inc. | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2009-11-16 |
1801122585 | Savoy Medical Management Group, Inc. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554 | 2009-10-30 |
1255667002 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-10-29 |
1215087887 | Michael J Prejean | Psychiatry & Neurology | 1610 7th St, Mamou, LA 70554 | 2007-01-12 |
Find all providers in zip 70554 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996544 | Bethesda Medical Clinic Infusion Center LLC | Internal Medicine | 1620 Belle Chasse Hwy Ste 102, Terrytown, LA 70056-7057 | 2020-06-16 |
1336528355 | Lafayette Health Ventures, Inc. | Internal Medicine | 814 Jefferson Ter, New Iberia, LA 70560-5727 | 2015-05-22 |
1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
1760758221 | Thomas Stewart Atkinson | Internal Medicine | 2121 Ridgelake Dr Fl 4, Metairie, LA 70001 | 2012-03-29 |
1548535883 | Aurash Khoobehi | Internal Medicine | 4204 Houma Blvd 2nd Floor, Ej Hem/onc, Metairie, LA 70006-2968 | 2012-03-20 |
1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
1942478805 | Bridgette Collins Burow | Internal Medicine | 1430 Tulane Ave # Sl-78, New Orleans, LA 70112-2632 | 2008-02-13 |
1760687230 | Hematology & Specialists LLC | Internal Medicine | 506 Rue De Sante, La Place, LA 70068-5418 | 2007-06-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.