Individual
VILMOGIL TACTAY TANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930
Mailing address
2551 GREENWOOD RD, SUITE 410, SHREVEPORT, LA 71103-3981
(318) 621-2929
(318) 621-2930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.206961
LA
208M00000X
Hospitalist Physician
Primary
R1138
TX
Other
Enumeration date
06/28/2011
Last updated
05/13/2026
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