Shreveport Endoscopy Center, A Medical Corporation in Shreveport - Endoscopy
Shreveport Endoscopy Center, A Medical Corporation - NPI 1982676771
Shreveport Endoscopy Center, A Medical Corporation is a Endoscopy in Shreveport, Louisiana. Shreveport Endoscopy Center, A Medical Corporation practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Shreveport Endoscopy Center, A Medical Corporation is 1982676771. The last update date is 2022-08-12.
Shreveport Endoscopy Center, A Medical Corporation's current location address is 3217 Mabel St, Shreveport, Louisiana. You can contact this provider via phone number 3186310072 and fax number 3182134979. The mailing address for Shreveport Endoscopy Center, A Medical Corporation is 3217 Mabel St, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shreveport Endoscopy Center, A Medical Corporation |
|---|---|
| Address | 3217 Mabel St, Shreveport, Louisiana |
| Phone Number | 3186310072 |
| Fax Number | 3182134979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jaganmohan Sathya |
| Credentials | M.D. |
| Telephone Number | 3186310072 |
NPI Number Detail
| NPI Number | 1982676771 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2022-08-12 |
Provider Mailing Address Detail
| Address | 3217 Mabel St |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711034022 |
| Phone Number | 3186310072 |
| Fax Number | 3182134979 |
Provider's Primary Taxonomy Detail
| Speciality | Endoscopy |
|---|---|
| Taxonomy | 261Qe0800X |
| Licence No | 50 |
|
Definition: Examines internal organs and cavities using an endoscope inserted through small incisions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50 | LA | STATE LICENSE | |
| 1910678 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shreveport Endoscopy Center, A Medical Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Shreveport Endoscopy Center, A Medical Corporation has been assigned the NPI (National Provider Identifier) 1982676771. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Shreveport Endoscopy Center, A Medical Corporation?
The Shreveport Endoscopy Center, A Medical Corporation is situated at 3217 Mabel St, in the city of Shreveport, state of LA, with the zip code 711034022.
What is the Shreveport Endoscopy Center, A Medical Corporation's specialty and taxonomy code?
The Shreveport Endoscopy Center, A Medical Corporation's specialty is Endoscopy, and the corresponding taxonomy code is 261Qe0800X.
On what date did Shreveport Endoscopy Center, A Medical Corporation receive its 1982676771 assignment from the Centers for Medicare & Medicaid Services?
The Shreveport Endoscopy Center, A Medical Corporation was assigned its 1982676771 on 2006-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shreveport Endoscopy Center, A Medical Corporation most recently updated or revised?
The details related to Shreveport Endoscopy Center, A Medical Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-12.