Individual
MIHALY BENJAMIN TAPOLYAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF MEDICINE NEPHROLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2500
(318) 813-2525
Mailing address
1501 KINGS HWY, DEPARTMENT OF MEDICINE NEPHROLOGY, SHREVEPORT, LA 71103-4228
(318) 813-2500
(318) 813-2525
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
199978
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1474681
—
LA
Enumeration date
07/18/2006
Last updated
06/19/2008
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