Individual provider · Type 1 NPI

Pouyan Shaker, DO

Student in an Organized Health Care Education/Training Program · Jefferson, LA

NPI number 1114817467 Active

Practice location

1401A Jefferson Hwy
Jefferson, LA 70121-2426

Call (504) 842-3260 Map

Mailing address

800 N Causeway Blvd Apt 203
Metairie, LA 70001-5363

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X347759 (LA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114817467

Pouyan Shaker, DO's National Provider Identifier is 1114817467, issued on Jul 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jefferson, LA. The record was last updated on Jul 8, 2025.