| Wk Internal Medicine Specialists | |
|
8001 Youree Dr Ste 720 Shreveport LA 71115-2336 | |
| (318) 212-3681 | |
| (318) 212-3687 |
| Full Name | Wk Internal Medicine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 8001 Youree Dr Ste 720, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATION) |
| Authorized Official Contact | 3182128780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wk Internal Medicine Specialists 8001 Youree Dr Ste 720 Shreveport LA 71115-2336 Ph: (318) 212-3681 | Wk Internal Medicine Specialists 8001 Youree Dr Ste 720 Shreveport LA 71115-2336 Ph: (318) 212-3681 |
| NPI Number | 1831579077 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 5799099537 |
|---|---|
| Medicare Enrollment ID | O20150806011498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831579077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Venerando R Del Mundo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982630174 PECOS PAC ID: 8426959891 Enrollment ID: I20040119000169 |
| Provider Name | James Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942678511 PECOS PAC ID: 4284944158 Enrollment ID: I20151104002245 |
| Provider Name | Ahmed Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760914055 PECOS PAC ID: 5092145649 Enrollment ID: I20210818000514 |
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