Individual
VIJAYAKUMAR JAVALKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
304433
LA
2084V0102X
Vascular Neurology Physician
Primary
304433
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200668040A
—
OK
Enumeration date
04/30/2011
Last updated
03/11/2024
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