Healthcare Provider Details

I. General information

NPI: 1659298230
Provider Name (Legal Business Name): ABDALGHANI L HAMED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W BUTTERFLY CIR
TERRYTOWN LA
70056-2736
US

IV. Provider business mailing address

427 W BUTTERFLY CIR
TERRYTOWN LA
70056-2736
US

V. Phone/Fax

Practice location:
  • Phone: 504-252-7060
  • Fax:
Mailing address:
  • Phone: 504-252-7060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number009575708
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: