Organization
BELLAH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD D BELLAH M.D. (OWNER)
(318) 841-2801
Entity
Organization
Contact information
Practice address
1801 FAIRFIELD AVE, SUITE 409, SHREVEPORT, LA 71101-4443
(318) 841-2801
(318) 841-2800
Mailing address
1801 FAIRFIELD AVE., SUITE 409, SHREVEPORT, LA 71104
(318) 841-2801
(318) 841-2800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12606R
LA
2084P0800X
Psychiatry Physician
K0260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1539384
—
LA
Enumeration date
03/02/2009
Last updated
03/02/2009
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