DR. HOSEIN M SHOKOUH-AMIRI


Address: 1501 Kings Hwy, Attn Surgery Business Manager, Shreveport, LA 71103-4228
Phone: 3186756104

DR. HOSEIN M SHOKOUH-AMIRI (NPI# 1831155688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831155688
Entity Type Individual
Full Name DR. HOSEIN M SHOKOUH-AMIRI
Credential MD
Practice Address 1501 Kings Hwy
Attn Surgery Business Manager
Shreveport
LA 71103-4228
Mailing Address 1066 Waters Edge Cir
Shreveport
LA 71106-7776
Practice Telephone 3186756104
Practice Fax Number 3186754582
Mailing Telephone 3185242827
Enumeration Date 2006-04-21
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 204F00000X Transplant Surgery 20118 LA Allopathic & Osteopathic Physicians
N 204F00000X Transplant Surgery 24176 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AR 123102001 05
TN 3073281 05
BC/BS TN 167279 01

Office Location

Street Address 1501 KINGS HWY
ATTN SURGERY BUSINESS MANAGER
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890769 F Dean Griffen Surgery 1501 Kings Hwy, Shreveport, LA 71103-4228 2005-06-09
1336747625 Lana Nasief Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-09
1558968834 Dinesh Regalla Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-08
1588261283 Divleen Sidhu Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-10-06
1023624517 Grace Hoffman Pharmacist 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-20
1194330761 Yousef Hasan Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1790399277 Ricardo Murguia Fuentes Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1013521509 Tahir Ahmad Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-09-02
1376155309 Ayesha Malik Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103-4228 2020-08-20
1104438324 Elleny Gutierrez Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Shreveport, LA 71103 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 204F00000X
Grouping Allopathic & Osteopathic Physicians
Classification Transplant Surgery

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528307238 Wk Transplant Physicians Transplant Surgery 2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 2013-02-01
1093059073 Wk Regional Transplant Center Transplant Surgery 2751 Albert L Bicknell Dr, 4th Floor, Shreveport, LA 71103-3920 2012-11-15
1972526598 Robert Word Mcmillan Transplant Surgery 1501 Kings Hwy, Department of Surgery, Tranplant, Shreveport, LA 71103-4228 2006-07-25
1477573301 Donnie Franklin Aultman Transplant Surgery 1501 Kings Hwy, Department of Surgery, Transplant, Shreveport, LA 71103-4228 2006-07-21
1497775282 Gazi Baderkhan Zibari Transplant Surgery 1501 Kings Hwy, Department of Surgery, Transplant, Shreveport, LA 71103-4228 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366657793 Jacob Emile Dowden Transplant Surgery 200 W Esplanade Ave Ste 210, Kenner, LA 70065-2473 2007-05-11
1881652352 Hoonbae Jeon Transplant Surgery 1415 Tulane Ave Fl 6, New Orleans, LA 70112 2006-05-03
1538129135 Mary T Killackey Transplant Surgery 1415 Tulane Ave # Tw-35, New Orleans, LA 70112-2600 2006-03-27
1043213069 David S Bruce Transplant Surgery 1514 Jefferson Highway, New Orleans, LA 70121 2005-05-23
1134413792 Sixto G Giusti Transplant Surgery 1415 Tulane Ave Fl 6, New Orleans, LA 70112-2600 2011-06-01
1831427806 John Brentley Seal Transplant Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2009-12-02
1467688812 Kofi Atiemo Transplant Surgery 1415 Tulane Ave Fl 6, New Orleans, LA 70112 2009-05-29
1164683074 Emily Marie Bugeaud Transplant Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2008-06-23
1104092899 Trevor William Reichman Transplant Surgery 1514 Jefferson Highway, New Orleans, LA 70121-2429 2008-05-02
1477733087 Humberto Elias Bohorquez Transplant Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2007-11-12
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Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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