Individual
MR. HUSAM HAIDAR SUKEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5722
(318) 256-5774
Mailing address
210 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5722
(318) 256-5774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13676R
LA
2080P0206X
Pediatric Gastroenterology Physician
13676R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13676R
MEDICAL LISCENSE
LA
05
—
1436542
—
LA
Enumeration date
05/24/2005
Last updated
03/07/2023
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