Organization
RED RIVER ANESTHESIA SERVICES, A.P.M.C.
Active
Other names
AHP of Shreveport, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SATHYA JAGANMOHAN M.D. (PRESIDENT)
(318) 631-9121
Entity
Organization
Contact information
Practice address
3217 MABEL STREET, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Mailing address
3217 MABEL STREET, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 631-9126
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119265
—
LA
Enumeration date
11/14/2007
Last updated
08/11/2022
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