Jaganmohan, Sathya
Jaganmohan, Sathya is an individual health care provider with primary practice located at 8001 Youree Dr Ste 540 , Shreveport LA 71115-2343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jaganmohan, Sathya can be contacted via phone (318) 631-9121.Contact Information
Primary practice address
8001 Youree Dr Ste 540
Shreveport LA 71115-2343
Phone: (318) 631-9121
Fax: (318) 631-9126
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 203683 | Louisiana |
Profile Details
| NPI number | 1922202597 |
|---|---|
| LBN Legal business name | Jaganmohan, Sathya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Aug 11th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922202597 | NPPES |
| Louisiana | Other | MD.203683 | STATE LICENSE |
| Louisiana | MEDICAID | 1059480 | STATE LICENSE |
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