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Individual

DR. SERGIO ENRIQUE ALVARADO MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0177

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
332435
LA
2085R0202X
Diagnostic Radiology Physician
332435
LA

Other

Enumeration date
08/06/2018
Last updated
04/26/2023
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