PRAKASH GIDDALURI

SHREVEPORT, LA
NPI1164603478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  324787)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  PHY TEMP)
207Q00000X Family Medicine
(Licence: TX  N0788)
Enumeration Date2007-11-15
Last Update Date2022-11-08
Business Address
PRAKASH GIDDALURI MD, MPH
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
Mailing Address
PRAKASH GIDDALURI MD, MPH
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA 71105-5718
Phone number: 318-212-3520
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