Individual
SWATHI PARVATANENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053
Mailing address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
321130
LA
Other
Enumeration date
07/29/2015
Last updated
11/12/2020
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