SHABIH MANZAR


Address: 1501 Kings Hwy, Shreveport, LA 71103-4228
Phone: 6304155094

SHABIH MANZAR (NPI# 1972697886) 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) 1972697886
Entity Type Individual
Full Name SHABIH MANZAR
Credential M.D.
Practice Address 1501 Kings Hwy
Shreveport
LA 71103-4228
Mailing Address Po Box 33932
Shreveport
LA 71130-3932
Practice Telephone 6304155094
Mailing Telephone 6304155094
Enumeration Date 2006-10-03
Last Update Date 2019-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
MD.206816 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL DEA BM9798034 01
IL 036091445 05

Office Location

Street Address 1501 KINGS HWY
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 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194916502 Sara Sibley Serio Pediatrics 4027 Baltimore Ave, Shreveport, LA 71106-1009 2007-08-09
1326062076 Neonatal Care Specialists, Inc. Pediatrics 920 Pierremont Rd, Suite 200, Shreveport, LA 71106-2079 2006-07-26
1003809211 Lea Bonifacio Penales Pediatrics 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 2005-08-24
1780848580 Wk Ark-la-tex Neonatology Pediatrics 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 2008-07-11
1720242431 Scott A Walls Pediatrics 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 2008-07-11
1093735961 Hassan Mohwad Ibrahim Pediatrics 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 2006-07-20
1700806676 Richard William Krouskop Pediatrics 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 2006-07-20
1497772305 Janet Blount Ashenbrebber Pediatrics 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 2006-07-16
1285651190 Arun Kimar Pramanik Pediatrics 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 2006-07-16
1285666487 Gerald Brent Whitton Pediatrics 2510 Bert Kouns Industrial Loop, Room 215, Shreveport, LA 71118-3119 2006-07-07
Find all providers in SHREVEPORT

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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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