Stavan Yogendra Patel
Oral & Maxillofacial Surgeon
1501 Kings Hwy Department Of Oral Surgery
Shreveport
, Louisiana 71103-4228
Stavan Yogendra Patel
Oral & Maxillofacial Surgeon
1501 Kings Hwy Department Of Oral Surgery
Shreveport
, Louisiana 71103-4228
(318) 813-2527
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Stavan Yogendra Patel
- 1501 Kings Hwy Department Of Oral Surgery
- Shreveport, LA
- Zip : 71103-4228
- Fax : (318) 813-2527
- Phone : (318) 813-2625
Second Address
- Stavan Yogendra Patel
- 1501 Kings Hwy Department Of Oral Surgery
- Shreveport, LA
- Zip : 71103-4228
- Fax : (318) 813-2527
- Phone : (318) 813-2625
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | MD.302913 | LA |
National Provider Identifier
| NPI | 1558688309 |
|---|---|
| Provider Name | Stavan Yogendra Patel |
| First Address | Shreveport, LA 71103-4228 |
| Second Address | Shreveport, LA 71103-4228 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2010 |
| Last Update Date | 22/09/2016 |
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.