Provider Demographics
NPI:1003191545
Name:ALSHEHRY, SAMI MOHAMMED
Entity Type:Individual
Prefix:
First Name:SAMI
Middle Name:MOHAMMED
Last Name:ALSHEHRY
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 1:1100 FLORIDA AVE
Mailing Address - Street 2:3012 RIDGE CREST COMMUNITY
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2799
Mailing Address - Country:US
Mailing Address - Phone:504-941-8212
Mailing Address - Fax:
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:1065
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-2411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program