Anesthesiology And Pain Management
Anesthesiology, Pain Medicine in Shreveport, LA. Organization (NPI-2).
NPI number1164514774
StatusActive
Last updated in NPPESMar 12, 2012
Details
- NPI
- 1164514774
- Entity type
- Organization (NPI-2)
- Legal business name
- Anesthesiology And Pain Management
- Organization subpart
- No
- Enumeration date
- Sep 29, 2006
- Last updated
- Mar 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | – | – | Yes |
Practice location
1666 E Bert Kouns LoopSuite 125
Shreveport, LA 71105-5714
Phone 318-752-7960 · Fax 318-752-7880
Mailing address
1666 E Bert Kouns LoopSuite 125
Shreveport, LA 71105-5714
Phone 318-752-7960 · Fax 318-752-7880
Authorized official
Sudarshan Tanga
Ceo
3187527960
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