NPI 1558688309

Stavan Yogendra Patel, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Shreveport, LA

Practice location

Address: 2508 Bert Kouns Industrial Loop STE 410, Shreveport, LA 71118-3157
Phone: (318) 212-5944
Fax: (318) 212-5949

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence MD.302913 (LA)

Other Oral & Maxillofacial Surgery providers in Louisiana →

Oral & Maxillofacial Surgery (D.M.D.)

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence U0177 (TX)

Registry record

NPI: 1558688309
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 May 2010
Record last updated: 21 Nov 2024

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.