Individual
DR. BHARTI M MANCHANDIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3119
(318) 212-5395
Mailing address
5679 MIRADOR CIR, SHREVEPORT, LA 71119-4009
(318) 222-2229
(318) 746-9669
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
05496R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1313041
—
LA
Enumeration date
06/03/2006
Last updated
07/08/2007
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