Provider Demographics
NPI:1659807972
Name:SHAMA, MOHAMED AHMED (MD, MSC, MRCS, EBSQ)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:AHMED
Last Name:SHAMA
Suffix:
Gender:M
Credentials:MD, MSC, MRCS, EBSQ
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Mailing Address - Street 1:1430 TULANE AVE RM 8510-B
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:409-978-6447
Mailing Address - Fax:504-754-7949
Practice Address - Street 1:1430 TULANE AVE RM 8510-B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:409-978-6447
Practice Address - Fax:504-754-7949
Is Sole Proprietor?:No
Enumeration Date:2017-05-05
Last Update Date:2020-11-03
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Provider Licenses
StateLicense IDTaxonomies
LA324894207YX0007X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck