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Individual

PANKAJRAI S SHROFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7937 US HWY 165, COLUMBIA, LA 71418
(318) 649-2621
(318) 649-5885
Mailing address
7937 US HWY 165, COLUMBIA, LA 71418
(318) 649-2621
(318) 649-5885

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05693R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319350
LA
Enumeration date
09/05/2006
Last updated
07/08/2007
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