Provider Demographics
NPI:1922260074
Name:GOUHER, SARIA (MB; BS, MD)
Entity Type:Individual
Prefix:
First Name:SARIA
Middle Name:
Last Name:GOUHER
Suffix:
Gender:F
Credentials:MB; BS, MD
Other - Prefix:
Other - First Name:SARIA
Other - Middle Name:
Other - Last Name:ROHEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:4608 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-537-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD202420207R00000X
LAMD.202420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1313441Medicaid
MS09689519Medicaid
LA4N371Medicare PIN
MS09689519Medicaid