Individual
DR. VIKRAM KHOSHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE SOUTH 650, MARRERO, LA 70072-3151
(504) 349-6504
(504) 349-6528
Mailing address
1111 MEDICAL CENTER BLVD, SOUTH 650, ATTN: HEIDI GWINN, MARRERO, LA 70072-3151
(504) 349-1297
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
08776R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922510
—
LA
Enumeration date
09/21/2005
Last updated
10/09/2009
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