Individual
DR. KAVITHA BEEDUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-1057
Mailing address
9522 MILBANK DR, SHREVEPORT, LA 71115-3805
(985) 285-2188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.207830
LA
207RH0003X
Hematology & Oncology Physician
Primary
MD.207830
LA
Other
Enumeration date
08/12/2009
Last updated
08/18/2023
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