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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
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