Aditya Bamboria
Family Medicine in Shreveport, LA. Individual provider (NPI-1).
NPI number1285339663
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1285339663
- Entity type
- Individual (NPI-1)
- Name
- Aditya Bamboria
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 82886 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-330-7600
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
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All 193 Family Medicine Physician providers in Shreveport · All 11,081 providers in Shreveport
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