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

Ayushma Subedi

Individual provider Pediatrics Physician · NPI 1417403460

Ayushma Subedi is a Pediatric Medicine in Shreveport, Louisiana. Qualified in 2012, 14 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2016
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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 — (218) 683-2725

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 65045 (MN)

Record details

NPI number1417403460
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 30, 2016
Last updated in NPPESSeptember 11, 2025
Certification dateApril 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Shreveport