Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shreveport Internal Medicine and Pediatrics LLC

Organization Internal Medicine Physician · NPI 1710041900

Shreveport Internal Medicine and Pediatrics LLC is an Internal Medicine Physician in Shreveport, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10401 E Kings Hwy
Shreveport, LA 71115-3227
Phone: (318) 558-0880
Fax: (318) 562-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1710041900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allan Matriano Lim — Owner · (318) 588-0880
NPI enumeratedDecember 21, 2006
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address10401 E Kings Hwy, Shreveport, LA 71115-3227

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