Individual provider · NPI-1

Faraz F Alwani, M.D.

Family Medicine · Shreveport, LA

NPI number1104352921

StatusActive

Last updated in NPPESOct 3, 2023

Details

NPI: 1104352921
Entity type: Individual (NPI-1)
Name: Faraz F Alwani
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: May 11, 2017
Certification date: Oct 3, 2023
Last updated: Oct 3, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	338781	LA	Yes
207Q00000X	Family Medicine	85924	GA
208100000X	Physical Medicine & Rehabilitation	338781	LA

Practice location

8650 Millicent Way
Shreveport, LA 71115-2228

Phone 186-428-1003

Mailing address

Po Box 1684
Shreveport, LA 71165-1684

Phone 845-363-4558 · Fax 866-276-8064

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