Individual
KUNAL SONAVANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2528
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
300807
LA
208000000X
Pediatrics Physician
300807
LA
Other
Enumeration date
04/09/2012
Last updated
06/02/2016
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