Provider Demographics
NPI:1073954640
Name:ABBAS, SYED W (MD)
Entity Type:Individual
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First Name:SYED
Middle Name:W
Last Name:ABBAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1202 LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-3910
Mailing Address - Country:US
Mailing Address - Phone:318-716-4947
Mailing Address - Fax:318-716-4854
Practice Address - Street 1:1202 LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3910
Practice Address - Country:US
Practice Address - Phone:318-716-4947
Practice Address - Fax:318-716-4947
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2021-07-02
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Provider Licenses
StateLicense IDTaxonomies
MA2705122084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology