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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568639730 NPPES
Louisiana MEDICAID 05962

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