Jerome Danzell, MD | |
2727 Hearne Ave, Shreveport, LA 71103-3931 | |
(318) 631-6400 | |
(318) 631-0300 |
Full Name | Jerome Danzell |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 2727 Hearne Ave, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265406953 | NPI | - | NPPES |
1696897 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 021324 (Louisiana) | Primary |
Entity Name | Cardiovascular Consultants Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780624585 PECOS PAC ID: 4981677119 Enrollment ID: O20040817000183 |
Mailing Address | Practice Location Address |
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Jerome Danzell, MD Po Box 11407, Birmingham, AL 35246-0100 Ph: (318) 631-6400 | Jerome Danzell, MD 2727 Hearne Ave, Shreveport, LA 71103-3931 Ph: (318) 631-6400 |
Mansi Shah, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530 | |
Pratik Agrawal, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |