# INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205915121
- **Authorized official:** DR. RAJENDRA T GANDHI MD (PRESIDENT CEO)
- **Authorized official phone:** (318) 635-9855

## Contact information

- **Practice address:** 2551 GREENWOOD RD \#220, SHREVEPORT, LA 71103
- **Practice address phone:** (318) 635-9855
- **Practice address fax:** (318) 635-9857
- **Mailing address:** 2551 GREENWOOD RD \#220, PO BOX 37063, SHREVEPORT, LA 71103
- **Mailing address phone:** (318) 635-9855
- **Mailing address fax:** (318) 635-9857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 08/22/2020
