Pediatric Gi Specialists, LLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC GI SPECIALISTS, LLC

Practice address

1801 Fairfield Ave
Suite 305
Shreveport, LA 71101-4467

Phone

(318) 629-7769

Fax

(318) 629-7768

NPI assigned

Dec 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sunny Zaheed Hussain, MD

Title

Owner

Phone

(318) 629-7769

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1831334051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1283",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711631283",
            "telephone_number": "318-629-7769",
            "fax_number": "318-629-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 305",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014467",
            "telephone_number": "318-629-7769",
            "fax_number": "318-629-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GI SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SUNNY",
        "authorized_official_middle_name": "ZAHEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-629-7769",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Burton Peck, PHD
• Prakash Peddi, MD
• Pediatria Healthcare, LLC
• Pediatric Associates of Shreveport, LLC
• Pediatric Dental Partners, LLP
• Pediatric Orthotic and Prosthetic Services-Southeast, LLC
• Pediatric Providers of Louisiana
• Frankie K Pedigo, MD
• Patrick Homer Peele, D.C.
• Meghna Peesapati

• Pediatric Gastroenterology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Gastroenterology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.