Individual
DR. STEVEN C WHITED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
955 ONEONTA ST, SHREVEPORT, LA 71106-1131
(318) 423-5260
Mailing address
955 ONEONTA ST, SHREVEPORT, LA 71106-1131
(318) 423-5260
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
04612R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030002753
RAILROAD MEDICARE
LA
01
—
1053315946
GROUP NPI NUMBER
LA
01
—
106533601
TEXAS MEDICAID NUMBER
TX
05
—
1193976
—
LA
01
—
139731001
ARKANSAS MEDICAID NUMBER
AR
Enumeration date
06/09/2005
Last updated
11/24/2025
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