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Contact Information

KHALED SHAFIEI, MD
3510 MEDICAL PARK DR.
SUITE 9
MONROE, LA71203
 Phone: 318-388-6050
 Fax: 318-998-3022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KHALED SHAFIEI · (Male)

NPI # 1922034487
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2006
Last updated 09/30/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 026713
  • LA Medicaid 1423521
Hospital affiliation(s)
  • GLENWOOD REGIONAL MEDICAL CENTER - (Acute Care)
    503 MCMILLAN ROAD
    WEST MONROE, LA 71291
  • MONROE SURGICAL HOSPITAL - (Acute Care)
    2408 BROADMOOR BLVD
    MONROE, LA 71201
  • MOREHOUSE GENERAL HOSPITAL - (Acute Care)
    323 W WALNUT
    BASTROP, LA 71220
  • ST FRANCIS MEDICAL CENTER - (Acute Care)
    309 JACKSON STREET
    MONROE, LA 71201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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