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Individual

MOHANAGEETHA ARDHANARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 KINGS HWY, PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 675-5600
(318) 675-8638
Mailing address
1501 KINGS HWY, PEDIATRICS, SHREVEPORT, LA 71103-4228
(318) 675-5600
(318) 675-8638

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
34392
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/12/2013
Last updated
03/10/2020
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