Individual
SAMAN BAHRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2208
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
346004
LA
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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