Individual provider · NPI-1

Pratibha Anne, MD

Family Medicine · Shreveport, LA

NPI number1821228909
StatusActive
Last updated in NPPESOct 14, 2010

Details

NPI
1821228909
Entity type
Individual (NPI-1)
Name
Pratibha Anne
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 22, 2009
Last updated
Oct 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine203834LAYes

Practice location

1625 David Raines Rd
Shreveport, LA 71107-5899

Phone 318-425-2252 · Fax 318-227-3357

Mailing address

1625 David Raines Rd
Shreveport, LA 71107-5899

Phone 318-425-2252 · Fax 318-227-3357

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