Individual
DR. DONNA J RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4420
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4420
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
017181
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1360988
—
LA
01
—
P00278939
RAILROAD MEDICARE NUMBER
LA
Enumeration date
06/09/2005
Last updated
01/12/2009
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