Prakash Giddaluri in Shreveport - Family Medicine

Prakash Giddaluri - NPI 1164603478

Prakash Giddaluri is a Family Medicine in Shreveport, Louisiana. Prakash Giddaluri practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Prakash Giddaluri is 1164603478. The last update date is 2022-11-08.

Prakash Giddaluri's current location address is 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, Louisiana. You can contact this provider via phone number 3182123520 and fax number 3182123525. The mailing address for Prakash Giddaluri is 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Prakash Giddaluri
Address 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, Louisiana
Phone Number 3182123520
Fax Number 3182123525
Sole Proprietor N
Credentials MD, MPH

NPI Number Detail

NPI Number 1164603478
Provider Enumeration Date 2007-11-15
Last Updated Date 2022-11-08

Provider Mailing Address Detail

Address 1666 E Bert Kouns Industrial Loop Ste 105
City Shreveport
State Louisiana (LA)
Post Code 711055718
Phone Number 3182123520
Fax Number 3182123525

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No PHY TEMP
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8L0266 TX MEDICARE PTAN
195141001 TX --

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FAQs about Prakash Giddaluri

What is the unique 10-digit identifier code assigned to Prakash Giddaluri by the Centers for Medicare & Medicaid Services?

The Prakash Giddaluri has been issued the NPI (National Provider Identifier) 1164603478 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Prakash Giddaluri's facilities are geographically located?

The facilities of Prakash Giddaluri are physically situated at the following location: 1666 E Bert Kouns Industrial Loop Ste 105, Shreveport, LA, 711055718.

What is the area of specialization for Prakash Giddaluri, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Prakash Giddaluri is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When was the Prakash Giddaluri's 1164603478 issued?

The Prakash Giddaluri's 1164603478 was issued on 2007-11-15.

As of what date was the information pertaining to Prakash Giddaluri, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Prakash Giddaluri, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-11-08.

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