Individual
PRAJWAL KUMSI SREEDHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8001 YOUREE DR, STE 4007, SHREVEPORT, LA 71115
Mailing address
8001 YOUREE DR, STE 4007, SHREVEPORT, LA 71115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
349004
LA
Other
Enumeration date
03/18/2022
Last updated
10/09/2025
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