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NORTHWEST LOUISIANA NEPHROLOGY LLC NPI 1669416491


NPI Information

NPI: 1669416491
Provider Name: NORTHWEST LOUISIANA NEPHROLOGY, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 19D2157090

Address:
1800 BUCKNER ST
SUITE C120
SHREVEPORT, LA
ZIP 71101
Phone: (318) 227-8899
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NORTHWEST LOUISIANA NEPHROLOGY, LLC is a nephrology internal medicine in Shreveport, LA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NORTHWEST LOUISIANA NEPHROLOGY, LLC NPI is 1669416491. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 BUCKNER ST
SUITE C120
SHREVEPORT, LA
ZIP 71101-440
Phone: (318) 227-8899
Fax: (318) 222-0407

The provider's authorized official is Wanda S Carter .
The authorized official title is Manager and has the following contact phone number (318) 227-8899.

The CLIA number assigned to this NPI record is 19D2157090 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/11/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11941255MEDICAIDLOUISIANA
2CN6035OTHERLOUISIANARAILROAD MEDICARE PROVIDE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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