Healthcare Provider Details

I. General information

NPI: 1689837643
Provider Name (Legal Business Name): WASSIM AGHNATIOS ABI JAOUDE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WASSIM ABI JAOUDE MD

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 TULANE AVE
NEW ORLEANS LA
70112-2632
US

IV. Provider business mailing address

1430 TULANE AVE
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-1739
  • Fax:
Mailing address:
  • Phone: 504-988-1739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number269477
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number269477
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number347557
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: