Individual
DONALD ALAN ELMAJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 YOUREE DR STE 350, SHREVEPORT, LA 71115-2326
(318) 212-3369
(318) 212-3398
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 813-1200
(318) 813-1030
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
14020R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1439622
—
LA
01
—
4A180F600
MEDICARE - PTAN
LA
Enumeration date
07/17/2006
Last updated
06/24/2021
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