OrganizationActive
Abaka LLC
NPI 1477106524 · Internal Medicine Physician · Shreveport, LA
Provider details
- NPI number
- 1477106524
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allan Matriano Lim, Member(318) 588-0880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
3050 Baird Rd
Shreveport, LA 71118-3818
Phone: (318) 688-1010
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1684
Shreveport, LA 71165-1684
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2019-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.