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Contact Information

ABAKA LLC
3050 BAIRD RD
SHREVEPORT, LA71118-3818
 Phone: 318-688-1010
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ABAKA LLC · (Female)

NPI Number 1477106524
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2019
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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