PHANI SURAPANENI

SHREVEPORT, LA
NPI1831452895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: LA  324387)
Additional Taxonomies207R00000X Internal Medicine
(Licence: LA  324387)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IA  46132)
Enumeration Date2012-06-24
Last Update Date2023-03-14
Business Address
PHANI SURAPANENI M.D.
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
PHANI SURAPANENI M.D.
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: