NPI 1164514774

Anesthesiology and Pain Management

Organisation Pain Medicine (Anesthesiology) Physician Shreveport, LA

Practice location

Address: 1666 E Bert Kouns Loop Suite 125, Shreveport, LA 71105-5714
Phone: (318) 752-7960
Fax: (318) 752-7880

Authorised official

Name: Sudarshan Tanga
Title: Ceo
Phone: (318) 752-7960

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Louisiana →

Registry record

NPI: 1164514774
Entity type: Organization
NPI issued: 29 Sep 2006
Record last updated: 12 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.