Individual
DR. MOHAMMAD JAHIRUL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4881
(318) 675-5069
Mailing address
832 ELMWOOD ST, SHREVEPORT, LA 71104-4802
(318) 868-6600
(318) 868-3451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.08670R
LA
207RI0200X
Infectious Disease Physician
Primary
MD.08670R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1933872
—
LA
Enumeration date
05/03/2006
Last updated
03/28/2017
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