IndividualActive
Abdul Damra
NPI 1457039810 · Student in an Organized Health Care Education/Training Program · Shreveport, LA
Provider details
- NPI number
- 1457039810
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
- License
- S-1158 (LA)
Specialties & taxonomies
Student, Health Care
Practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0547
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.