Individual
FORAM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
2130 E MADISON AVE, BASTROP, LA 71220-4036
(318) 680-4117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
011626682
LA
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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