Individual
SIDRA SHAKEEL AHSAN
Active
Individual
SIDRA SHAKEEL AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.069852
IL
207R00000X
Internal Medicine Physician
343003
LA
207RG0100X
Gastroenterology Physician
Primary
343003
LA
Other
Enumeration date
06/26/2017
Last updated
09/05/2024
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