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1861970295
NIRMAL PRASAD BASAULA
SHREVEPORT, LA
NPI
1861970295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA 327844)
Enumeration Date
2018-07-28
Last Update Date
2023-08-17
Business Address
Dr. NIRMAL PRASAD BASAULA MD
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
Dr. NIRMAL PRASAD BASAULA MD
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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