Individual
MR. DENIS KAMBEROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 JEFFERSON STREET, MANSFIELD, LA 71052
(318) 872-2700
(318) 872-6214
Mailing address
207 JEFFERSON ST, MANSFIELD, LA 71052-2603
(318) 872-2700
(318) 872-6214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L12090R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110190542
RAILROAD MEDICARE
—
05
—
1530069
—
LA
01
—
721417526KA
OCHSNERS
—
01
—
G56567
STERLING OPTION 1
—
Enumeration date
01/12/2006
Last updated
05/04/2020
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