Individual
KALGI MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13131R
LA
207RC0000X
Cardiovascular Disease Physician
13131R
LA
207RI0011X
Interventional Cardiology Physician
Primary
13131R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578606
—
LA
Enumeration date
08/08/2006
Last updated
04/30/2024
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