Individual
KAMAL A. MASRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(210) 209-9239
Mailing address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(318) 212-8159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207549
LA
282N00000X
General Acute Care Hospital
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
07/08/2021
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