Provider Demographics
NPI:1538950159
Name:ABOU-SHAKRA, ABDELRAHMAN
Entity type:Individual
Prefix:MR
First Name:ABDELRAHMAN
Middle Name:
Last Name:ABOU-SHAKRA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1978 INDUSTRIAL BOULEVARD
Mailing Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM CHABERT MEDICAL CEN
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70363
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1978 INDUSTRIAL BOULEVARD
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY PROGRAM CHABERT MEDICAL CEN
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70363
Practice Address - Country:US
Practice Address - Phone:985-873-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program