Individual
SRINIVASA R ISKAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BUCKNER ST STE C120, SHREVEPORT, LA 71101-4453
(318) 227-8899
(318) 425-3793
Mailing address
1800 BUCKNER ST STE C120, SHREVEPORT, LA 71101-4453
(318) 227-8899
(318) 425-3793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT183379
PA
207RN0300X
Nephrology Physician
Primary
207816
LA
Other
Enumeration date
03/23/2007
Last updated
12/11/2018
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