Most Relevant Information
Provider Data
NPI Number: | 1003267410 |
Provider Name: | PRATIK AGRAWAL |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 331571 |
Most Important Dates
Enumeration Date: | 06/27/2016 |
Last Updated: | 07/07/2022 |
Provider Practice Location
1541 KINGS HWY
SHREVEPORT
LA
711034228
Practice Location Phone/Fax
Phone: | 3186260000 |
Fax: |
Provider Mailing Location
1512 W KIRBY PL
SHREVEPORT
LA
711033822
Provider Mailing Phone/Fax
Phone: | 3186260287 |
Fax: |
Suggested EMR
Internist EMR