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1033748298
NIROSHAN SATHIVADIVEL
SHREVEPORT, LA
NPI
1033748298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: LA 340679)
Enumeration Date
2020-04-08
Last Update Date
2024-09-11
Business Address
NIROSHAN SATHIVADIVEL MD
1006 HIGHLAND AVE
SHREVEPORT, LA 71101-4103
Phone number: 877-678-7500
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Mailing Address
NIROSHAN SATHIVADIVEL MD
1006 HIGHLAND AVE
SHREVEPORT, LA 71101-4103
Phone number: 877-678-7500
Copy
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