| NPI | 1477734820 |
|---|---|
| Former Legal Business Name | AHP OF SHREVEPORT, INC. |
| Entity Type | Organization |
| Authorized Contact | SATHYA JAGANMOHAN President 318-631-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2022-08-11 |