Provider Demographics
NPI:1710447156
Name:GHAWJI, MAHER SHAWKAT JR (MD)
Entity Type:Individual
Prefix:
First Name:MAHER
Middle Name:SHAWKAT
Last Name:GHAWJI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LOUIS
Other - Middle Name:
Other - Last Name:GHAWJI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3401 NORTH BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3743
Mailing Address - Country:US
Mailing Address - Phone:225-387-7900
Mailing Address - Fax:
Practice Address - Street 1:3401 NORTH BLVD STE 130
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3743
Practice Address - Country:US
Practice Address - Phone:225-387-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program