-- NISAR AHMED I
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1922988658- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1501 KINGS HWY, SHREVEPORT, LA, 711034228
- Phone
- (318) 626-0434
- Fax
- (318) 626-0434
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary License: LA #348163