Individual
MILA D SHAH-BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.204587
LA
207VX0000X
Obstetrics Physician
2012-00034
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275790495
—
NC
Enumeration date
05/16/2008
Last updated
02/08/2023
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