| Mr Ibrahim Alshahrouri, MD | |
|
1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 | |
| (337) 439-4706 | |
| (337) 439-8110 |
| Full Name | Mr Ibrahim Alshahrouri |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 1800 Ryan St Ste 105, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396186367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 303115 (Louisiana) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101264403 (Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Chi St Lukes Health Memorial Livingston | Livingston, TX | Hospital |
| Oakbend Medical Center | Richmond, TX | Hospital |
| Houston Methodist Sugarland Hospital | Sugar land, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Angelina Diagnostic Radiology Associates | 1850380890 | 42 |
| Entity Name | Angelina Diagnostic Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033175302 PECOS PAC ID: 1850380890 Enrollment ID: O20040506001075 |
| Entity Name | Radiology Associates Of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20190220000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ibrahim Alshahrouri, MD 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 | Mr Ibrahim Alshahrouri, MD 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 Ph: (337) 439-4706 |
John R Romero Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Richard L Martinez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
James G Maze, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-494-2121 Fax: 337-494-2360 | |
Donald A Woolridge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Charles J Brdlik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Adam D Olsan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St, Suite 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 | |
Dr. David R Wallace Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Ryan St Ste 105, Lake Charles, LA 70601 Phone: 337-439-4706 Fax: 337-439-8110 |