Individual
PRAFULCHANDRA G VAKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 429-5710
Mailing address
9341 STONEBRIAR CIR, SHREVEPORT, LA 71115-3729
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
024439
LA
207L00000X
Anesthesiology Physician
2003-0560
NM
207L00000X
Anesthesiology Physician
39679
KY
207L00000X
Anesthesiology Physician
M0955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487503
—
LA
Enumeration date
08/08/2006
Last updated
11/05/2007
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