Doty, Shiva

Doty, Shiva is an individual health care provider with primary practice located at 1501 Kings Hwy Emergency Medicine, Shreveport LA 71103-4228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Doty, Shiva can be contacted via phone (318) 675-7205.

Contact Information

Primary practice address
1501 Kings Hwy Emergency Medicine Shreveport LA 71103-4228
Phone: (318) 675-7205
Fax: (318) 675-6878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA200026 Louisiana

Profile Details

NPI number 1912933110
LBN Legal business name Doty, Shiva
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 10th, 2014 - about 11 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 1912933110 NPPES
Louisiana MEDICAID 1151726

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