Individual
SAMI LABIB BAHNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRIC, SECTION OF ALLERGY & IMMUNOLOG, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Mailing address
1501 KINGS HWY, DEPARTMENT OF PEDIATRIC, SECTION OF ALLERGY & IMMUNOLOG, SHREVEPORT, LA 71103-4228
(318) 675-8601
(318) 675-8872
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
04267R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1185736
—
LA
Enumeration date
07/16/2006
Last updated
07/31/2009
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