Niroshan Sathivadivel, MD | |
1006 Highland Ave, Shreveport, LA 71101-4103 | |
(877) 678-7500 | |
Not Available |
Full Name | Niroshan Sathivadivel |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1006 Highland 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 |
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1033748298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 340679 (Louisiana) | Primary |
Entity Name | Brentwood Acquisition-shreveport Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164725701 PECOS PAC ID: 1951379312 Enrollment ID: O20040923000015 |
Mailing Address | Practice Location Address |
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Niroshan Sathivadivel, MD 1006 Highland Ave, Shreveport, LA 71101-4103 Ph: (877) 678-7500 | Niroshan Sathivadivel, MD 1006 Highland Ave, Shreveport, LA 71101-4103 Ph: (877) 678-7500 |
Peimin Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
Susan Ing, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Stoner Avenue, Shreveport, LA 71101 Phone: 318-221-8411 | |
Izrail Abdurakhmanov, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1501 Kings Highway, Psychiatry, Shreveport, LA 71130 Phone: 318-626-2445 | |
Richard Matthew Zweig, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Neurology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
John Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7330 Fern Ave Ste 704, Shreveport, LA 71105 Phone: 318-798-8261 Fax: 316-798-8263 | |
Dr. Michael Vittorio Susano, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1310 N Hearne Ave, Shreveport, LA 71107 Phone: 318-676-5111 |