Individual
SURESH SABBENAHALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 222-6226
(318) 222-6227
Mailing address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 222-6226
(318) 222-6227
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD206423
LA
Other
Enumeration date
08/02/2010
Last updated
02/20/2025
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