Individual
DR. CHERINET SIRAW ADGEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 344-0624
(318) 212-4153
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 344-0624
(318) 212-4153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
202427
LA
208M00000X
Hospitalist Physician
Primary
202427
LA
208M00000X
Hospitalist Physician
MD.202427
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101749
—
LA
Enumeration date
05/29/2007
Last updated
12/17/2024
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