Individual
DR. SUDARSHAN MANIKCHAND TANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8730 YOUREE DRIVE, SUITE C, SHREVEPORT, LA 71115
(318) 752-7960
(318) 752-7880
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.13420R
LA
208VP0000X
Pain Medicine Physician
Primary
MD.13420R
LA
Other
Enumeration date
08/15/2006
Last updated
05/13/2025
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