Shokouh-Amiri, Hosein M
Shokouh-Amiri, Hosein M is an individual health care provider with primary practice located at 2751 Albert Bicknell Dr Ste 4A, Shreveport LA 71103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as his primary health care specialty. Shokouh-Amiri, Hosein M can be contacted via phone (318) 212-4275.Contact Information
Primary practice address
2751 Albert Bicknell Dr Ste 4A
Shreveport LA 71103
Phone: (318) 212-4275
Fax: (318) 212-8511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 24176 | Tennessee |
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 20118 | Louisiana |
Profile Details
| NPI number | 1831155688 |
|---|---|
| LBN Legal business name | Shokouh-Amiri, Hosein M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Aug 22nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831155688 | NPPES |
| Tennessee | MEDICAID | 3073281 | |
| Tennessee | Other | 167279 | |
| Tennessee | MEDICAID | 123102001 |
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