Basic Information
| Provider Information | |||||||||
| NPI: | 1356790596 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHARSHIR | ||||||||
| FirstName: | MOH'D | ||||||||
| MiddleName: | AHMED | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1430 TULANE AVE, #8545 | ||||||||
| Address2: | TULANE SCHOOL OF MEDICINE/NEPHROLOGY AND HYPERTENSION D | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5046555777 | ||||||||
| FaxNumber: | 5049881909 | ||||||||
| Practice Location | |||||||||
| Address1: | 1430 TULANE AVE, #8545 | ||||||||
| Address2: | TULANE SCHOOL OF MEDICINE/NEPHROLOGY AND HYPERTENSION D | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 70112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5046555777 | ||||||||
| FaxNumber: | 5049881909 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2016 | ||||||||
| LastUpdateDate: | 09/26/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 320116 | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.