| Wk Elite Internal Medicine | |
|
2551 Greenwood Rd Ste 220 Shreveport LA 71103-3985 | |
| (318) 635-9855 | |
| Not Available |
| Full Name | Wk Elite Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2551 Greenwood Rd Ste 220, Shreveport, Louisiana |
| Authorized Official Name and Position | Mary Jane Ward (SR. VP OF FINANCE) |
| Authorized Official Contact | 3187164937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Elite Internal Medicine 2551 Greenwood Rd Ste 220 Shreveport LA 71103-3985 Ph: (318) 635-9855 | Wk Elite Internal Medicine 2551 Greenwood Rd Ste 220 Shreveport LA 71103-3985 Ph: (318) 635-9855 |
| NPI Number | 1245800192 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 07/01/2021 |
| Medicare PECOS PAC ID | 3072992999 |
|---|---|
| Medicare Enrollment ID | O20220623002693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245800192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rajendra T Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750379608 PECOS PAC ID: 3072695311 Enrollment ID: I20080125000487 |
| Provider Name | Aaron C Stigers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449071 PECOS PAC ID: 6406224377 Enrollment ID: I20221128000267 |
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