| Elite Health | |
|
8707 Business Park Drive Shreveport LA 71105 | |
| (225) 223-1933 | |
| Not Available |
| Full Name | Elite Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8707 Business Park Drive, Shreveport, Louisiana |
| Authorized Official Name and Position | Swamy Suresh Babu Sabbenahalli Narayana (PSYCHIATRIST) |
| Authorized Official Contact | 2252231933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Health 1093 Saint Francis Way Shreveport LA 71106-5500 Ph: (225) 223-1933 | Elite Health 8707 Business Park Drive Shreveport LA 71105 Ph: (225) 223-1933 |
| NPI Number | 1710755798 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 7810337409 |
|---|---|
| Medicare Enrollment ID | O20240430001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710755798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Swamy Suresh Sabbenahalli Narayana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528372505 PECOS PAC ID: 1759608581 Enrollment ID: I20150316001439 |
| Provider Name | Swathi Parvataneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881079028 PECOS PAC ID: 8426354580 Enrollment ID: I20210609000733 |
| Provider Name | Roderickus K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679965610 PECOS PAC ID: 4284009051 Enrollment ID: I20230408000015 |
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