Individual
DR. SRIMATHI PRASAD TANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6136
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 424-6136
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
026379
LA
207R00000X
Internal Medicine Physician
Primary
MD.026379
LA
Other
Enumeration date
08/14/2006
Last updated
08/26/2024
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