HORACIO RUBEN D'AGOSTINO M.D. NPI 1184640682

NPI Information

NPI: 1184640682
Provider Name: HORACIO RUBEN D'AGOSTINO, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Address:
1501 KINGS HWY
DEPARTMENT OF RADIOLOGY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-7737
Get Directions

Horacio Ruben D'agostino, M.D. is a vascular and interventional radiology radiology in Shreveport, LA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Horacio Ruben D'agostino, M.D. NPI is 1184640682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF RADIOLOGY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-7737
Fax: (318) 675-5666

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	13200R	LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1555134	MEDICAID	LOUISIANA
2	E89850	MEDICARE UPIN	LOUISIANA
3	5E875F600	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA

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

NPI Synchronization or Removal

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