DIANA SONG

SHREVEPORT, LA
NPI1225590292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RS0012X Internal Medicine, Sleep Medicine
(Licence: GA  105253)
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
(Licence: GA  105253)
207R00000X Internal Medicine
(Licence: GA  105253)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-01
Last Update Date2026-05-21
Business Address
DIANA SONG DO
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434
Mailing Address
DIANA SONG DO
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434