Individual
BHARAT GUTHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF NEUROSURGERY, SHREVEPORT, LA 71103-4228
(318) 813-1555
(318) 813-2491
Mailing address
1501 KINGS HWY, DEPARTMENT OF NEUROSURGERY, SHREVEPORT, LA 71103-4228
(318) 813-1555
(318) 813-2491
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
201713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019160
—
LA
Enumeration date
10/04/2007
Last updated
07/29/2009
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