Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 320796 | LA |
NPI | 1013250554 |
---|---|
Provider Name | Dr. Ioannis Papayannis |
First Address | Shreveport, LA 71130-3932 |
Second Address | Shreveport, LA 71103-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 29/08/2019 |