Shah, Mansi

Shah, Mansi is an individual health care provider with primary practice located at 1455 E Bert Koun Loop #210, Shreveport LA 71105. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Shah, Mansi can be contacted via phone (318) 798-4515.

Contact Information

Primary practice address
1455 E Bert Koun Loop #210 Shreveport LA 71105
Phone: (318) 798-4515
Fax: (318) 798-4530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PENDING Kentucky
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X N1445 Texas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 300501 Louisiana

Profile Details

NPI number 1003090663
LBN Legal business name Shah, Mansi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 11th, 2020 - about 5 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 1003090663 NPPES
Louisiana MEDICAID 2409051

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