NPI 1912535873 · live from the CMS NPI Registry
Barisere Amidou, MD
Internal Medicine in Shreveport, LA. National Provider Identifier 1912535873, active.
NPI record
| NPI | 1912535873 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2551 Greenwood Rd Ste 410, Shreveport, LA 71103 |
| Practice phone | 318-621-2929 |
| Enumerated | March 27, 2020 |
| Last updated | January 29, 2026 |
| Sole proprietor | No |
| Other names | Barisere Bodo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 336760 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.