Individual
SHABIH MANZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(630) 415-5094
Mailing address
PO BOX 33932, SHREVEPORT, LA 71130-3932
(630) 415-5094
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD.206816
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091445
—
IL
Enumeration date
10/03/2006
Last updated
11/21/2023
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