Individual
BARISERE AMIDOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 621-2929
(318) 638-3169
Mailing address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 621-2929
(318) 638-3169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336760
LA
Other
Enumeration date
03/27/2020
Last updated
01/29/2026
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