Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED M SULLIVAN JR., MD
ActiveDR. FRED M SULLIVAN JR., MD is a Pediatrics healthcare provider located in SHREVEPORT, Louisiana. NPI 1841396611 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · SHREVEPORT, LA
Registration Details
- NPI Number
- 1841396611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.91888840097 yrs)
- Last Updated
- May 15, 2012
- Licenses
-
016881 (LA)016881 (LA)
Practice Information
- Address
-
1501 KINGS HWYSHREVEPORT, LA, 711034228Browse LA providers · Browse ZIP 71103
- Phone
- 3186755000
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Emergency Medicine
Other Pediatrics Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT E RITCH | MD | 1770588576 |
| DR. ROBERT DAVIS HAYNIE | MD | 1174529630 |
| MRS. SHARYE V ATCHISON | MD | 1700883915 |
| DR. CLIFTON M VAUGHAN | M.D. | 1861499600 |
| DR. MONICA L HAYNES | M.D. | 1750388492 |
| DR. WILLIAM D PARKER | M.D. | 1174521785 |
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.