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1225778392
VIVEK MOORTHY
SHREVEPORT, LA
NPI
1225778392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
VIVEK MOORTHY MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-8137
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Mailing Address
VIVEK MOORTHY MD
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number:
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