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Contact Information

AMIRA ODISHO, MBBS
1541 KINGS HWY
SHREVEPORT, LA71103-4228
 Phone: 318-626-0000
 Fax: 318-629-4833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for AMIRA ODISHO · (Female)

NPI # 1093748139
Status Active
Credentials MBBS
Entity Individual
Enumeration date 07/09/2006
Last updated 05/03/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 026316
  • LA Medicaid 1571008
Hospital affiliation(s)
  • LSU HEALTH SCIENCES CENTER - SHREVEPORT - (Acute Care)
    1541 KINGS HIGHWAY
    SHREVEPORT, LA 71103
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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