Individual
SAGUN K C
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0050
Mailing address
1846 FAIRFIELD AVE, SHREVEPORT, LA 71101-4434
(682) 283-8981
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
342778
LA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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