Individual
DR. PAUL E PERKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.023188
LA
2086S0129X
Vascular Surgery Physician
Primary
MD.023188
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495301
—
LA
Enumeration date
10/28/2005
Last updated
11/07/2023
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