Individual
DR. PUJA HARIDASAN NAMBIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0386
(318) 698-8005
Mailing address
1501 KINGS HIGHWAY, ATTN: LEISA OGLESBY (RM. 1-201), SHREVEPORT, LA 71103-4228
(318) 675-4881
(318) 675-5069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.059096
IL
207RI0200X
Infectious Disease Physician
Primary
305319
LA
Other
Enumeration date
07/11/2011
Last updated
03/17/2018
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