Individual
SYED SIDDIQULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
343744
LA
207RC0000X
Cardiovascular Disease Physician
343744
LA
Other
Enumeration date
07/27/2022
Last updated
11/05/2024
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