Most Relevant Information
Provider Data
NPI Number: | 1003313545 |
Provider Name: | SHAHEENA ANENE |
Entity Type: | Individual |
Taxonomy Code: | 208000000X |
Specialty: | Pediatrics |
License Number: | 328035 |
Most Important Dates
Enumeration Date: | 04/11/2018 |
Last Updated: | 04/19/2022 |
Provider Practice Location
1541 KINGS HWY
SHREVEPORT
LA
711034228
Practice Location Phone/Fax
Phone: | 3186260000 |
Fax: |
Provider Mailing Location
1512 W KIRBY PL
SHREVEPORT
LA
711033822
Provider Mailing Phone/Fax
Phone: | 3186260287 |
Fax: |
Suggested EMR
Pediatrics EMR