Healthcare Provider Details

I. General information

NPI: 1609305267
Provider Name (Legal Business Name): RAI DILAWAR SHAHJEHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 JEFFERSON HWY
NEW ORLEANS LA
70121-2429
US

IV. Provider business mailing address

400 S GATEHOUSE DR APT K
METAIRIE LA
70001-7833
US

V. Phone/Fax

Practice location:
  • Phone: 814-619-8950
  • Fax: 814-534-3559
Mailing address:
  • Phone: 814-534-9104
  • Fax: 814-534-3559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2026034669
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2026034669
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT212997
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: