Individual
DR. HIMANSHU DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Mailing address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15024R
LA
207RP1001X
Pulmonary Disease Physician
Primary
15024R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059307
—
LA
Enumeration date
10/14/2005
Last updated
03/13/2012
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