MEDICARE: SHAIMAA YOUSRY ARAFA FADEL

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	390200000X	Student in an Organized Health Care Education/Training Program	351899	LA

General Provider Information

NPI Number	:	1841122751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAIMAA YOUSRY ARAFA FADEL

Provider Business Mailing Address
First Line	:	1501 KINGS HWY
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4228
Country	:	US
Telephone Number	:	318-626-0434
Fax Number	:	318-626-0434

Provider Business Practice Location Address
First Line	:	1501 KINGS HWY
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-4228
Country	:	US
Telephone Number	:	318-626-0434
Fax Number	:	318-626-0434

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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