Individual
DHARAM GURWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6821 PINES RD STE 400, SHREVEPORT, LA 71129-2547
(318) 686-5255
(318) 686-5239
Mailing address
PO BOX 5027, BOSSIER CITY, LA 71171-5027
(318) 686-5255
(318) 752-2890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
017034
LA
2084N0400X
Neurology Physician
Primary
017134
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900885
—
LA
Enumeration date
08/29/2006
Last updated
04/09/2018
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