Individual
DR. JOSEPH L. FREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105
(318) 212-3858
(318) 212-3958
Mailing address
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105-5740
(318) 212-3858
(318) 212-3958
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
310926
LA
207RC0000X
Cardiovascular Disease Physician
MD18034
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2487442
—
LA
05
—
3049405
—
TN
Enumeration date
09/15/2006
Last updated
07/13/2021
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