Individual
TEDDY CARLO ALONSO AREVALO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
347645
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
347645
LA
207RP1001X
Pulmonary Disease Physician
Primary
347645
LA
Other
Enumeration date
05/07/2019
Last updated
07/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us