Individual
DR. PUSHPITA PRAMANIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, OBVAMC, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6156
Mailing address
8710 E WILDERNESS WAY, SHREVEPORT, LA 71106-6137
(318) 861-3014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
#05202R
LA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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