Individual
DR. IRENE SCALTSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
417 DRU CIR, SHREVEPORT, LA 71106-2311
(318) 423-1048
Mailing address
417 DRU CIR, SHREVEPORT, LA 71106-2311
(318) 423-1048
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11943R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053315846
GROUP NPI NUMBER
LA
01
—
130015368
RAILROAD MEDICARE
LA
05
—
1684953
—
LA
01
—
189185501
TEXAS MEDICAID
TX
Enumeration date
06/09/2005
Last updated
11/24/2025
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