Healthcare Provider Details

I. General information

NPI: 1548958572
Provider Name (Legal Business Name): SAHIBZADA MUHAMMAD QASIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date: 11/30/2023
Reactivation Date: 01/02/2024

III. Provider practice location address

ST FRANCIS MEDICAL CENTRE 309 JACKSON STREET
MONROE LA
71201
US

IV. Provider business mailing address

1541 KINGS HWY
SHREVEPORT LA
71103-4228
US

V. Phone/Fax

Practice location:
  • Phone: 318-966-7172
  • Fax: 318-966-4142
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number353868
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: