Individual
ANGELA CAROLE DIPOTO BRAHMBHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5392
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
MD.207106
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.207106
LA
Other
Enumeration date
04/09/2012
Last updated
05/11/2023
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