Healthcare Provider Details

I. General information

NPI: 1801723382
Provider Name (Legal Business Name): HEBA A NAYEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 A JEFFERSON HIGHWAY ACADEMIC CENTER, 1ST FLOOR
JEFFERSON LA
70121
US

IV. Provider business mailing address

8358 W CATHERINE AVE
CHICAGO IL
60656-1434
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3260
  • Fax: 504-842-3193
Mailing address:
  • Phone: 504-842-3260
  • Fax: 504-842-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number351737
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: