Individual
DR. SIMHADRI K SASTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP 304, SHREVEPORT, LA 71118-3100
(318) 671-8880
(318) 671-8879
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP 304, SHREVEPORT, LA 71118-3100
(318) 671-8880
(318) 671-8879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10917R
LA
207RG0100X
Gastroenterology Physician
Primary
MD.10917R
LA
Other
Enumeration date
10/05/2006
Last updated
10/29/2015
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