Individual
DR. SHABNUM ILYAS CHAUDHERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71130-3932
(318) 675-5860
(318) 675-6444
Mailing address
P.O. BOX 33932, 1501 KINGS HWY, SHREVEPORT, LA 71130-3932
(318) 675-5860
(318) 675-6444
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
001229
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.204957
LA
Other
Enumeration date
05/02/2007
Last updated
12/16/2022
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