Organization
NORTHWEST LOUISIANA NEPHROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SREEDHARA B ALLA (MD)
(318) 227-8899
Entity
Organization
Contact information
Practice address
1800 BUCKNER ST, SUITE C120, SHREVEPORT, LA 71101-4440
(318) 227-8899
(318) 222-0407
Mailing address
1800 BUCKNER ST STE C120, SHREVEPORT, LA 71101-4453
(318) 227-8899
(318) 222-0407
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941255
—
LA
01
—
CN6035
RAILROAD MEDICARE PROVIDE
LA
Enumeration date
06/15/2006
Last updated
03/12/2026
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