Provider Demographics
NPI:1598706996
Name:SHANABLEH & MCSWEEN,M.D.'S,LLC
Entity Type:Organization
Organization Name:SHANABLEH & MCSWEEN,M.D.'S,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCSWEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-341-1603
Mailing Address - Street 1:824 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-1940
Mailing Address - Country:US
Mailing Address - Phone:504-341-1603
Mailing Address - Fax:504-341-1616
Practice Address - Street 1:824 AVENUE F
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-1940
Practice Address - Country:US
Practice Address - Phone:504-341-1603
Practice Address - Fax:504-341-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5CU74Medicare ID - Type Unspecified