IndividualActive
Fredric Siskron, MD
NPI 1023006590 · Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
Provider details
- NPI number
- 1023006590
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 010722 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2915 Missouri Ave
Shreveport, LA 71109-4327
Phone: (318) 364-2000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 731280
Dallas, TX 75373-1280
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2012-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.