Individual
DR. KRISHNA R. SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6821 PINES RD STE 400, SHREVEPORT, LA 71129-2547
(318) 686-5255
Mailing address
PO BOX 17798, SHREVEPORT, LA 71138-0798
(318) 686-5255
(318) 686-5239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LA09508R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952168
—
LA
Enumeration date
08/29/2006
Last updated
11/14/2019
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