Individual
DR. MUHAMMAD AHZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-2326
Mailing address
6051 ROMA DR APT 210, SHREVEPORT, LA 71105-4664
(405) 519-1592
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
341693
LA
207Q00000X
Family Medicine Physician
E-15189
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
11/13/2024
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