| 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 |