Individual provider · NPI-1

Dr. Umer Farooq Ahmad, MD

Internal Medicine · Shreveport, LA

NPI number1265698591
StatusActive
Last updated in NPPESFeb 26, 2014

Details

NPI
1265698591
Entity type
Individual (NPI-1)
Name
Dr. Umer Farooq Ahmad
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2008
Last updated
Feb 26, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine202279LAYes

Practice location

8001 Youree Dr
Suite 880
Shreveport, LA 71115-2302

Phone 318-212-3821 · Fax 318-212-3825

Mailing address

8001 Youree Dr
Suite 880
Shreveport, LA 71115-2302

Phone 318-212-3821 · Fax 318-212-3825

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