Individual provider · Type 1 NPI

Amethys E'etessam, DO

Student in an Organized Health Care Education/Training Program · Shreveport, LA

NPI number 1760273320 Active

Practice location

2611 Greenwood Rd
Shreveport, LA 71103-3907

Call (318) 212-8128 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760273320

Amethys E'etessam, DO's National Provider Identifier is 1760273320, issued on May 14, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shreveport, LA. The record was last updated on May 14, 2025.