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1063444842
VIJOYDEEP RAO MD & WILLIS-KNIGHTON MEDICAL CENTER
SHREVEPORT, LA
NPI
1063444842
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Entity Type
Organization
Authorized Contact
GREG J GAVIN
Network Administrator
318-212-8780
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-06
Last Update Date
2020-08-22
Business Address
VIJOYDEEP RAO MD & WILLIS-KNIGHTON MEDICAL CENTER
2551 GREENWOOD RD SUITE 310
SHREVEPORT, LA 71103-3981
Phone number: 318-212-8780
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Mailing Address
VIJOYDEEP RAO MD & WILLIS-KNIGHTON MEDICAL CENTER
PO BOX 3038
SHREVEPORT, LA 71133-3038
Phone number: 318-212-8780
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