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INDIRA SASTRY AND WILLIS-KNIGHTON NPI 1972569846


NPI Information

NPI: 1972569846
Provider Name: INDIRA SASTRY AND WILLIS-KNIGHTON
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2533 BERT KOUNS LOOP
SUITE 106
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5976
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INDIRA SASTRY AND WILLIS-KNIGHTON is a pulmonary disease internal medicine in Shreveport, LA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. INDIRA SASTRY AND WILLIS-KNIGHTON NPI is 1972569846. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2533 BERT KOUNS LOOP
SUITE 106
SHREVEPORT, LA
ZIP 71118-158
Phone: (318) 212-5976
Fax: (318) 212-5986

The provider's authorized official is Greg J. Gavin .
The authorized official title is Network Administrator and has the following contact phone number (318) 212-5976.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 10/1/2013.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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
15CQ07MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
21448877MEDICAIDLOUISIANA

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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