Individual
SHUBHANGI BAGEWADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 330-7615
Mailing address
148 HOLIDAY DR, MONROE, LA 71203-2675
(346) 588-9139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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