Amol Madan Takalkar
Nuclear Medicine Specialist
1505 Kings Hwy Pet Imaging Center, Brf
Shreveport
, Louisiana 71103-4228
Amol Madan Takalkar
Nuclear Medicine Specialist
1505 Kings Hwy Pet Imaging Center, Brf
Shreveport
, Louisiana 71103-4228
(318) 795-0775
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Amol Madan Takalkar
- 9303 Shenandoah Cir
- Shreveport, LA
- Zip : 71115-3743
- Phone : (318) 795-0775
Second Address
- Amol Madan Takalkar
- 1505 Kings Hwy Pet Imaging Center, Brf
- Shreveport, LA
- Zip : 71103-4228
- Phone : (318) 675-4050
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Is Amol Madan Takalkar a sole practitioner?
Is Amol Madan Takalkar accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 85681 | GA |
| Y | 207U00000X | Nuclear Medicine Specialist | MD.200309 | LA |
National Provider Identifier
| NPI | 1619931060 |
|---|---|
| Provider Name | Amol Madan Takalkar |
| First Address | Shreveport, LA 71115-3743 |
| Second Address | Shreveport, LA 71103-4228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2006 |
| Last Update Date | 26/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1626554 | (05) | LA |
| I35704 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.