Individual
AMMAR HUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1501 KINGS HWY, FAMILY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 626-0014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
323576
LA
Other
Enumeration date
03/28/2017
Last updated
07/23/2021
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