Wk Digestive Disease Consultants | |
2508 Bert Koun Loop Sutie 304 Shreveport LA 71118-3133 | |
(318) 671-8880 | |
(318) 671-8879 |
Full Name | Wk Digestive Disease Consultants |
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Speciality | Internal Medicine |
Location | 2508 Bert Koun Loop, Shreveport, Louisiana |
Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
Authorized Official Contact | 3182128780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wk Digestive Disease Consultants 2508 Bert Koun Loop Sutie 304 Shreveport LA 71118-3133 Ph: (318) 671-8880 | Wk Digestive Disease Consultants 2508 Bert Koun Loop Sutie 304 Shreveport LA 71118-3133 Ph: (318) 671-8880 |
NPI Number | 1003285255 |
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Provider Enumeration Date | 09/17/2015 |
Last Update Date | 09/18/2015 |
Medicare PECOS PAC ID | 2668782384 |
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Medicare Enrollment ID | O20151110000952 |
Identifier | Type | State | Issuer |
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1003285255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Simhadri Sastry |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811083025 PECOS PAC ID: 0446212039 Enrollment ID: I20041027000032 |
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 | |
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 | |
Shreveport Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Pines Road, Suite 1250, Shreveport, LA 71129 Phone: 318-686-3770 Fax: 318-686-3838 |