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Individual

DR. ABUBAKAR DENJA IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6821 PINES RD STE 300, SHREVEPORT, LA 71129-2547
(318) 686-1522
(318) 686-5101
Mailing address
6821 PINES RD STE 300, SHREVEPORT, LA 71129-2547
(318) 686-1522
(318) 686-5101

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
027065
LA
207Q00000X
Family Medicine Physician
Primary
027065
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1577766
LA
Enumeration date
06/02/2006
Last updated
11/13/2025
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