Active NPI
Hossam Abdelmonem Abdel-Rahman, MEDIAL DOCTOR
- Hematology & Oncology Physician
- Mamou, LA
National Provider Identifier
1164485173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 12356R
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538485 | Medicaid | LA |
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.