Individual
DR. ADETOKUNBO B DESALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, VA MEDICAL CENTER, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 841-4796
Mailing address
9698 CALLIOPE LN, SHREVEPORT, LA 71115-4600
(318) 211-8411
(318) 841-4796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043195
GA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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