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Individual

DR. HARISH BANGALORE SIDDAIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 KINGS HIGHWAY, DEPARTMENT OF ANESTHESIOLOGY, SHREVEPORT, LA 71103
(318) 626-1565
(318) 675-6681
Mailing address
1501 KINGS HIGHWAY, DEPARTMENT OF ANESTHESIOLOGY, SHREVEPORT, LA 71103
(318) 626-1565
(318) 675-6681

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-17633
AR
207L00000X
Anesthesiology Physician
MD.207326
LA

Other

Enumeration date
08/27/2009
Last updated
04/16/2026
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