Individual
DAVID A KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
463 ASHLEY RIDGE BLVD, STE 100, SHREVEPORT, LA 71106-7231
(318) 221-3584
(318) 227-9094
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD14915
LA
207R00000X
Internal Medicine Physician
MD14915
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272630100
—
FL
Enumeration date
03/27/2006
Last updated
07/08/2024
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