Individual
PRATIBHA ANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Mailing address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06568919
ECFMG
—
01
—
203834
STATE LICENSE
LA
Enumeration date
07/22/2009
Last updated
10/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us