Individual
OLUWAYEMISI A ADESIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, MED/PEDS, SHREVEPORT, LA 71103-4228
(318) 813-2528
Mailing address
1501 KINGS HWY, MED/PEDS, SHREVEPORT, LA 71103-4228
(318) 813-2528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
312549
LA
208000000X
Pediatrics Physician
312549
LA
Other
Enumeration date
04/15/2015
Last updated
10/02/2019
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