Katikaneni, Pavan
Katikaneni, Pavan is an individual health care provider with primary practice located at 1453 E Bert Koun Loop Ste 112 , Shreveport LA 71105-6810. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Katikaneni, Pavan can be contacted via phone (318) 798-9400.Contact Information
Primary practice address
1453 E Bert Koun Loop Ste 112
Shreveport LA 71105-6810
Phone: (318) 798-9400
Fax: (318) 795-4656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.204680 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.204680 | Louisiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD.204680 | Louisiana |
Profile Details
| NPI number | 1568639730 |
|---|---|
| LBN Legal business name | Katikaneni, Pavan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2008 |
| Last updated | Jan 23rd, 2024 - about 11 months 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 | 1568639730 | NPPES |
| Louisiana | MEDICAID | 05962 |
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