D'Agostino, Horacio Ruben

D'Agostino, Horacio Ruben is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Radiology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. D'Agostino, Horacio Ruben can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Radiology Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 13200R Louisiana

Profile Details

NPI number 1184640682
LBN Legal business name D'Agostino, Horacio Ruben
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184640682 NPPES
Louisiana MEDICAID 1555134

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