Individual
DR. HOSEIN M SHOKOUH-AMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 ALBERT BICKNELL DR, STE 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Mailing address
2751 ALBERT BICKNELL DR, STE 4A, SHREVEPORT, LA 71103
(318) 212-4275
(318) 212-8511
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
20118
LA
204F00000X
Transplant Surgery Physician
24176
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123102001
—
AR
01
—
167279
BC/BS TN
—
05
—
3073281
—
TN
Enumeration date
04/21/2006
Last updated
08/22/2022
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