Individual
DR. GAURI MANKEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6262
Mailing address
8625 RAMPART PL, SHREVEPORT, LA 71106-6227
(309) 532-9404
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
312595
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448650
—
LA
Enumeration date
06/20/2017
Last updated
07/02/2019
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