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Individual

AMEYA A. ASARKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 KINGS HIGHWAY, SHREVEPORT, LA 71130
(318) 813-2690
(318) 813-2692
Mailing address
1501 KINGS HIGHWAY, SHREVEPORT, LA 71130
(318) 813-2690
(318) 813-2491

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101262818
VA
207Y00000X
Otolaryngology Physician
Primary
310582
LA

Other

Enumeration date
09/01/2016
Last updated
08/28/2018
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