Ramin Shahla, MD
Individual provider Active NPI Psychiatry Physician · Lake Charles, LA
NPI 1336249762 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336249762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 12273R (LA)
- Practice address
- 2837 Ernest Street
Calcacien Oak Hospital
Lake Charles, LA 70601 - Phone
- (337) 439-8111
- Fax
- (337) 439-1970
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12273R | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Department of Health, Department of Health and Hospitals | Past | Accepting new patients | |
| Psychiatric Center LLC | Psychiatry | Past |
Accepting new patients |
| Telecare Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12273R | LA | Yes |
Addresses
Primary practice location
2837 Ernest Street
Calcacien Oak Hospital
Lake Charles, LA 70601
Mailing address
PO Box 2262
Lake Charles, LA 70602
Phone (504) 236-1525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1485799 | Medicaid | LA |
Other providers in Lake Charles, LA
- Lauren Ashley Sexton
- Syed Amir Shah
- Edward Shaheen
- Emmalee Shaheen
- Kamran Shahid
- Muhammad A. Shaikh
- Tamara Shaikh
- Yassara Shaikh
- Mosab Shalby
- Fayez Khader Shamieh
All providers in Lake Charles, LA · Psychiatry Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.