MANSI SHAH

SHREVEPORT, LA
NPI1003090663
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: LA  300501)
Additional Taxonomies207R00000X Internal Medicine
(Licence: KY  pending)
207RR0500X Internal Medicine, Rheumatology
(Licence: TX  N1445)
Enumeration Date2007-12-19
Last Update Date2020-12-11
Business Address
MANSI SHAH D.O.
1455 E BERT KOUN LOOP #210
SHREVEPORT, LA 71105
Phone number: 318-798-4515
Mailing Address
MANSI SHAH D.O.
1455 E BERT KOUN LOOP #210
SHREVEPORT, LA 71105-5634
Phone number: 318-798-4515