Individual
DR. ANIL MINOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5345
Mailing address
1867 CRANE RIDGE DR, STE.150-A DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4910
(601) 987-3988
(601) 987-4165
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17551
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125268
—
MS
Enumeration date
06/16/2006
Last updated
07/03/2018
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