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Individual

SHAHZEEM TAJUDDIN BHAYANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
(318) 629-4808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
320468
LA
207R00000X
Internal Medicine Physician
57027957
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/13/2016
Last updated
06/18/2021
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