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1720508716
SUREN VISVANATHAN
SHREVEPORT, LA
NPI
1720508716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 324388)
Enumeration Date
2017-06-21
Last Update Date
2023-02-28
Business Address
SUREN VISVANATHAN
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
SUREN VISVANATHAN
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number:
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