Individual
ETHAR HASSAB E. B. MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1501 KINGS HIGHWAY, INFECTIOUS DISEASES, SHREVEPORT, LA 71130
(318) 626-0506
Mailing address
1501 KINGS HIGHWAY, INFECTIOUS DISEASES, SHREVEPORT, LA 71130
(318) 626-0506
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
59820
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
10/16/2024
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