Individual
RYAN M. BURKHOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, INTERNAL MEDICINE, SHREVEPORT, LA 71103-4228
(318) 626-0434
Mailing address
1501 KINGS HWY, INTERNAL MEDICINE, SHREVEPORT, LA 71103-4228
(318) 626-0434
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
312696
LA
207RG0100X
Gastroenterology Physician
Primary
MD-52177
IA
208M00000X
Hospitalist Physician
35.13911
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
10/09/2025
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