SUREN VISVANATHAN

SHREVEPORT, LA
NPI1720508716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  324388)
Enumeration Date2017-06-21
Last Update Date2023-02-28
Business Address
SUREN VISVANATHAN
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
SUREN VISVANATHAN
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: