Organization
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA T GANDHI MD (PRESIDENT CEO)
(318) 635-9855
Entity
Organization
Contact information
Practice address
2551 GREENWOOD RD #220, SHREVEPORT, LA 71103
(318) 635-9855
(318) 635-9857
Mailing address
2551 GREENWOOD RD #220, PO BOX 37063, SHREVEPORT, LA 71103
(318) 635-9855
(318) 635-9857
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443425
—
LA
Enumeration date
11/02/2006
Last updated
08/22/2020
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