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Ahmad Abbas

Student in an Organized Health Care Education/Training Program in Shreveport, LA. Individual provider (NPI-1).

NPI number1043047863
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1043047863
Entity type
Individual (NPI-1)
Name
Ahmad Abbas
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 16, 2024
Certification date
Aug 22, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-0434

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-0434

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