Individual
DHARA P POPAT
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) 626-0000
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
342350
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2023
Last updated
08/16/2024
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