Individual
SHIVAM GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3260
Mailing address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3260
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
04/11/2024
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