Individual
DR. GIAO N DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 BERT KOUN LOOP RM 4003, SHREVEPORT, LA 71118-3119
(318) 212-5665
(318) 212-5698
Mailing address
2510 BERT KOUN LOOP RM 4003, SHREVEPORT, LA 71118-3119
(318) 212-5665
(318) 212-5698
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
06500R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360007
—
LA
05
—
X9W961282
—
TX
Enumeration date
09/29/2005
Last updated
06/23/2021
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