Individual
STEVEN NELKEN BIENVENU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 675-8600
(318) 675-8638
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 675-8600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
014564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313521
—
LA
01
—
5R476F600
MEDICARE - PTAN
LA
Enumeration date
07/20/2006
Last updated
01/09/2014
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