Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD.302545 | LA |
NPI | 1033544465 |
---|---|
Provider Name | Binod Pokhrel |
First Address | Shreveport, LA 71134-0506 |
Second Address | Shreveport, LA 71104-2162 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2013 |
Last Update Date | 07/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2417614 | (05) | LA |