Individual
RAHUL KAMLESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10044550
TX
2084A2900X
Neurocritical Care Physician
333346
LA
2084N0400X
Neurology Physician
333346
LA
2084V0102X
Vascular Neurology Physician
Primary
333346
LA
Other
Enumeration date
08/10/2012
Last updated
12/09/2025
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