Organization
ANESTHESIOLOGY AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDARSHAN TANGA MD (CEO)
(318) 752-7960
Entity
Organization
Contact information
Practice address
1666 E BERT KOUNS LOOP, SUITE 125, SHREVEPORT, LA 71105-5714
(318) 752-7960
(318) 752-7880
Mailing address
1666 E BERT KOUNS LOOP, SUITE 125, SHREVEPORT, LA 71105-5714
(318) 752-7960
(318) 752-7880
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
03/12/2012
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