Organization
DHARAM P GURWARA APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARAM PRAKASH GURWARA M.D (MD OWNER)
(318) 752-2890
Entity
Organization
Contact information
Practice address
6047 FIVE OAKS DR, SUITE D, SHREVEPORT, LA 71129-2596
(318) 752-2890
(318) 752-2890
Mailing address
PO BOX 5027, BOSSIER CITY, LA 71171-5027
(318) 752-2890
(318) 752-2890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
017034
LA
2084N0400X
Neurology Physician
Primary
017034
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900885
—
LA
Enumeration date
06/25/2008
Last updated
03/13/2012
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