Individual
SAIDI SOWMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-4964
(318) 428-9681
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-4964
(318) 428-9681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11388R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1658758
—
LA
Enumeration date
02/28/2007
Last updated
07/08/2007
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