MEDICARE: WASSIM AGHNATIOS ABI JAOUDE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	269477	NY
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	347557	LA
3	2086S0127X	Trauma Surgery Physician	269477	NY

General Provider Information

NPI Number	:	1689837643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WASSIM AGHNATIOS ABI JAOUDE MD

Provider Business Mailing Address
First Line	:	1430 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-1739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 TULANE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2632
Country	:	US
Telephone Number	:	504-988-1739
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	06/01/2026

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