Doctor Name: | PRAPHUL MISRA |
NPI Number: | 1053331934 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 14073R |
Business Practice Address: | 1501 Kings Hwy Department Of Medicine Cardiology Shreveport, LA - 711034228 |
Business Phone Number: | 3186755941 |
Business Fax Number: | 3186755686 |
Mailing Address: | 1501 Kings Hwy, Department Of Medicine Cardiology SHREVEPORT |
State: | LA |
Postal Code: | 711034228 |
Phone Number: | 3186755941 |
Fax Number: | 3186755686 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 14073R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |