Individual
DR. PEYMAN ROOHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 773-4903
(318) 747-9994
Mailing address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 773-4903
(318) 747-9994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13153R
LA
207R00000X
Internal Medicine Physician
Primary
MD.131353R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559997
—
LA
Enumeration date
07/08/2005
Last updated
10/02/2023
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