Individual
DR. VIVEK KHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 MISSOURI AVE, SHREVEPORT, LA 71109-4327
(318) 366-4200
Mailing address
PO BOX 731280, DALLAS, TX 75373-1280
(318) 841-9532
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
021343
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530735
—
LA
Enumeration date
10/10/2005
Last updated
04/04/2012
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