Provider Demographics
NPI:1740333012
Name:SHALABY, MONIR TAWFIK (MD)
Entity type:Individual
Prefix:DR
First Name:MONIR
Middle Name:TAWFIK
Last Name:SHALABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 TOLMAS DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1851
Mailing Address - Country:US
Mailing Address - Phone:504-666-4540
Mailing Address - Fax:504-834-5569
Practice Address - Street 1:4422 GENERAL MEYER AVE STE 100
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-4328
Practice Address - Country:US
Practice Address - Phone:504-364-4065
Practice Address - Fax:504-363-4077
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07414R208000000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1940607Medicaid
LA1940607Medicaid