Individual
DR. PRATHIK KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
322795
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
322795
LA
207RP1001X
Pulmonary Disease Physician
Primary
322795
LA
Other
Enumeration date
06/18/2014
Last updated
08/18/2023
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