SOPHIA TAYEBEH SHOKOUH-AMIRI


Address: 1327 Pierre Ave, Shreveport, LA 71103
Phone: 3182128624

SOPHIA TAYEBEH SHOKOUH-AMIRI (NPI# 1134516578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134516578
Entity Type Individual
Full Name SOPHIA TAYEBEH SHOKOUH-AMIRI
Other Name SOPHIA ABDEHOU
Credential MD
Practice Address 1327 Pierre Ave
Shreveport
LA 71103
Mailing Address 1202 Louisiana Ave
Shreveport
LA 71101-3910
Practice Telephone 3182128624
Practice Fax Number 3182268545
Mailing Telephone 3182128951
Mailing Fax Number 3182126752
Enumeration Date 2015-04-23
Last Update Date 2019-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 311260 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 2387707 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4864 Jackson St, Family Medicine, Monroe, LA 712026400 3183307620
4700 Hilry Huckaby IIi Ave., Shreveport, LA 711074702 3182211001 3182211044
1666 E Bert Koun Loop Ste 105, Shreveport, LA 711055718 3182123520 3182123525

Office Location

Street Address 1327 PIERRE AVE
City SHREVEPORT
State LA
Zip Code 71103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700837333 Akane Daniels Physician Assistant 1327 Pierre Ave, Shreveport, LA 71103-3056 2006-05-16
1760738801 Tiffany George Nurse Practitioner 1327 Pierre Ave, Shreveport, LA 71103-3056 2012-07-26
1881626513 Wk Pierre Ave Community Health Education and Wellness Center Family Medicine 1327 Pierre Ave, Shreveport, LA 71103-3056 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
Find all providers in zip 71103

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922621390 Partners In Primary Care La PC Family Medicine 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 2020-05-20
1528609104 Spectra Family Clinic, LLC Family Medicine 9300 Mansfield Rd Ste 209, Shreveport, LA 71118-3138 2019-10-04
1922502327 Courtney Morgan Family Medicine 723 Milam St, Shreveport, LA 71101-3507 2018-03-20
1174973317 Patrick Michael Fitz-gerald Family Medicine 731 Coachlight Rd, Shreveport, LA 71106-7205 2016-06-19
1437446341 Samreena N Sara Family Medicine 8835 Line Ave Ste 400a, Shreveport, LA 71106-6722 2011-06-30
1932490554 Michael Thomas Kitchell Family Medicine 1666 E Bert Koun Loop Ste 105, Shreveport, LA 71105-5718 2011-04-30
1831402254 David J. Colvin Md LLC Family Medicine 148 Waters Edge Dr, Shreveport, LA 71106-7774 2010-07-15
1952628802 Tri Pham Family Medicine 133 Charles Ave, Shreveport, LA 71105-3719 2010-04-30
1669799524 Stephanie James Family Medicine 2120 Bert Kouns Industrial Loop Ste M, Shreveport, LA 71118-3355 2010-04-30
1205062965 Charles Henry Nash Family Medicine 5935 Gilbert Dr, Shreveport, LA 71106-2315 2009-06-08
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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