Individual
NIROSHAN SATHIVADIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(877) 678-7500
Mailing address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(877) 678-7500
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
340679
LA
Other
Enumeration date
04/08/2020
Last updated
09/11/2024
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