Organization
PEDIATRIC GI SPECIALISTS, LLC
Active
Organization
PEDIATRIC GI SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNNY ZAHEED HUSSAIN MD (OWNER)
(318) 629-7769
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 305, SHREVEPORT, LA 71101-4467
(318) 629-7769
(318) 629-7768
Mailing address
PO BOX 1283, SHREVEPORT, LA 71163-1283
(318) 629-7769
(318) 629-7768
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1706523
—
LA
Enumeration date
12/03/2008
Last updated
03/03/2009
Update your record
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