NPI 1477073906 · live from the CMS NPI Registry
Sidra Shakeel Ahsan, MD
Internal Medicine, Gastroenterology in Shreveport, LA. National Provider Identifier 1477073906, active.
NPI record
| NPI | 1477073906 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1541 Kings Hwy, Shreveport, LA 71103 |
| Practice phone | 318-626-0000 |
| Mailing address | 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103 |
| Enumerated | June 26, 2017 |
| Last updated | September 5, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 343003 (LA) |
| Internal Medicine | 207R00000X | 125.069852 (IL) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 343003 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.