Individual
VENERANDO R. DEL MUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8001 YOUREE DR, STE 550, SHREVEPORT, LA 71115-2332
(318) 212-3681
(318) 212-3687
Mailing address
8001 YOUREE DR, STE 550, SHREVEPORT, LA 71115-2332
(318) 212-3681
(318) 212-3687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026332
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578096
—
LA
Enumeration date
06/23/2006
Last updated
06/23/2021
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