| Manish Dhawan | |
|
850 Olive St Ste A Shreveport LA 71104-2162 | |
| (318) 239-4860 | |
| (318) 588-8820 |
| Full Name | Manish Dhawan |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 Olive St Ste A, Shreveport, Louisiana |
| Authorized Official Name and Position | Manish Dhawan (CEO) |
| Authorized Official Contact | 3184534245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manish Dhawan Po Box 4506 Shreveport LA 71134-0506 Ph: (318) 239-4860 | Manish Dhawan 850 Olive St Ste A Shreveport LA 71104-2162 Ph: (318) 239-4860 |
| NPI Number | 1699260083 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 06/20/2023 |
| Medicare PECOS PAC ID | 1557602356 |
|---|---|
| Medicare Enrollment ID | O20190404000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699260083 | NPI | - | NPPES |
| 2505777 | Medicaid | LA |
| Provider Name | Richa Dhawan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194921718 PECOS PAC ID: 9234043886 Enrollment ID: I20031118000146 |
| Provider Name | Joseph A Pineda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942264999 PECOS PAC ID: 1951407006 Enrollment ID: I20070507000095 |
| Provider Name | Manish Dhawan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083618912 PECOS PAC ID: 8820159197 Enrollment ID: I20100106000235 |
| Provider Name | Christine June Ince |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780687822 PECOS PAC ID: 0244132975 Enrollment ID: I20100724000187 |
| Provider Name | Binod Pokhrel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033544465 PECOS PAC ID: 5294020087 Enrollment ID: I20180710003288 |
| Provider Name | Lucie Jholeh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376015735 PECOS PAC ID: 8224376678 Enrollment ID: I20190211002692 |
| Provider Name | Alicia Diane Lowery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275800344 PECOS PAC ID: 3375706229 Enrollment ID: I20191113001362 |
| Provider Name | Stephanie Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750630364 PECOS PAC ID: 0042574436 Enrollment ID: I20200210001615 |
| Provider Name | Marquitta L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669844775 PECOS PAC ID: 1658643523 Enrollment ID: I20210820001286 |
| Provider Name | Fiorella Sonia Sotomayor Villanueva |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396240511 PECOS PAC ID: 1254792674 Enrollment ID: I20230802001038 |
Hs Louisiana, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Suite 5-303, Shreveport, LA 71103 Phone: 904-834-2679 Fax: 904-395-3249 | |
Wk Digestive Disease Consultants Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2508 Bert Koun Loop, Sutie 304, Shreveport, LA 71118 Phone: 318-671-8880 Fax: 318-671-8879 | |
Andrew Dentino Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 Phone: 318-212-8780 Fax: 318-212-8181 | |
Paul S Wilson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1666 E Bert Kouns Industrial Loop, Suite 230, Shreveport, LA 71105 Phone: 318-212-3970 Fax: 318-212-3975 | |
Maurie Patterson Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8001 Youree Dr, Suite 400, Shreveport, LA 71115 Phone: 318-212-3456 Fax: 318-212-3885 | |
Raymond A. Coghlan Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2551 Greenwood Rd, Suite 150, Shreveport, LA 71103 Phone: 318-631-9996 Fax: 318-631-9345 | |
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