Individual provider Active NPI

Hossam Abdelmonem Abdel-Rahman, MEDIAL DOCTOR

  • Hematology & Oncology Physician
  • Mamou, LA
National Provider Identifier
1164485173
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
12356R Issued in LA
Practice address
803 Poinciana Ave
Mamou, LA 70554
Phone
(337) 468-3099
Fax
(337) 468-3083
NPI assigned
Apr 10, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 12356R LA Primary

Addresses

Primary practice location

803 Poinciana Ave
Mamou, LA 70554

Mailing address

803 Poinciana Ave
Mamou, LA 70554
Phone (337) 468-3099

Other identifiers 1

IdentifierTypeStateIssuer
1538485MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164485173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "70554",
            "telephone_number": "337-468-3099",
            "fax_number": "337-468-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 POINCIANA AVE",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "70554",
            "telephone_number": "337-468-3099",
            "fax_number": "337-468-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-RAHMAN",
        "first_name": "HOSSAM",
        "middle_name": "ABDELMONEM",
        "credential": "MEDIAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "12356R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538485",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamou, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.