DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAKASH GIDDALURI, MD, MPH

Active

PRAKASH GIDDALURI, MD, MPH is a Family Medicine healthcare provider located in SHREVEPORT, Louisiana. NPI 1164603478 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SHREVEPORT, LA

Registration Details

NPI Number
1164603478
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2007 (18.71428711673 yrs)
Last Updated
Nov 8, 2022
Licenses
PHY TEMP (TX)
N0788 (TX)
324787 (LA)

Practice Information

Address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA, 711055718
Browse LA providers · Browse ZIP 71105
Phone
3182123520
Fax
3182123525
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in SHREVEPORT, LA

Name Credential NPI
DR. MICHAEL O FLEMING MD 1184627986
DR. EUGENE BENSON SCOTT II MD 1437153228
DR. MARION N CASH MD 1881699353
DR. RICKY L JONES MD 1598760076
SHERIN HANNA MERCER MD 1659376143
THERESA L RINDERLE MD 1083619589
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.