Randall G White, MD | |
745 Olive St, Suite 200, Shreveport, LA 71104-2246 | |
(318) 226-0809 | |
(318) 226-0812 |
Full Name | Randall G White |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 37 Years |
Location | 745 Olive St, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801851522 | NPI | - | NPPES |
L020186 | Other | LA | MEDICAL LICENSE |
1966118 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 020186 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dci - East Shreveport | Shreveport, LA | Dialysis facility |
Dci - Shreveport | Shreveport, LA | Dialysis facility |
Dci - North Shreveport | Shreveport, LA | Dialysis facility |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta Nephrology Llc | 2062714017 | 2 |
Entity Name | Delta Nephrology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356713440 PECOS PAC ID: 2062714017 Enrollment ID: O20160107000999 |
Mailing Address | Practice Location Address |
---|---|
Randall G White, MD 745 Olive St, Suite 200, Shreveport, LA 71104-2246 Ph: (318) 226-0809 | Randall G White, MD 745 Olive St, Suite 200, Shreveport, LA 71104-2246 Ph: (318) 226-0809 |
Mansi Shah, D.O. Nephrology 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, Nephrology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Nephrology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Nephrology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |