Individual provider · NPI-1

Dr. Muhammad Ahzam, MD

Emergency Medicine · Shreveport, LA

NPI number1891315008
StatusActive
Last updated in NPPESNov 13, 2024

Details

NPI
1891315008
Entity type
Individual (NPI-1)
Name
Dr. Muhammad Ahzam
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2020
Certification date
Nov 13, 2024
Last updated
Nov 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine341693LAYes
207Q00000X Family MedicineE-15189AR
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Phone 318-626-2326

Mailing address

6051 Roma Dr Apt 210
Shreveport, LA 71105-4664

Phone 405-519-1592

Other practice locations

612 S 12th St
Fort Smith, AR 72901-4702

Phone 479-785-2431 · Fax 479-785-0732

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