Individual
POURNIMA BAPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 841-5465
Mailing address
2611 GREENWOOD RD, WILLIS-KNIGHTON OFFICE OF GRADUATE MEDICAL EDUCATION, SHREVEPORT, LA 71103-3907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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