MRS. LISA L JAWAHAR (NPI# 1396914750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396914750 |
Entity Type | Individual |
Full Name | MRS. LISA L JAWAHAR |
Credential | R.T.(R)(T) |
Practice Address |
429 Creek Holw Shreveport LOUISIANA 71115 UM |
Mailing Address |
429 Creek Holw Shreveport LA 71115-3739 |
Practice Telephone | 3187973663 |
Mailing Telephone | 3187973663 |
Enumeration Date | 2008-02-29 |
Last Update Date | 2014-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471R0002X |
Radiologic Technologist Specialization: Radiation Therapy |
5657 | LA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
429 CREEK HOLW |
City | SHREVEPORT |
State | LOUISIANA |
Zip Code | 71115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
1104901446 | Monroe Medical Management LLC | Clinic/Center | 8856 Youree Drive, Suite D, Shreveport, LA 71115 | 2006-10-26 |
Find all providers in zip 71115 |
Taxonomy Code | 2471R0002X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiation Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528610052 | Danielle Bowlin | Radiologic Technologist | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2019-07-15 |
1326294109 | Gopal Maramraj | Radiologic Technologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-13 |
1215183090 | Christie Bevel | Radiologic Technologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-13 |
City | SHREVEPORT |
Zip Code | 71115 |
Please comment or provide details below to improve the information on MRS. LISA L JAWAHAR.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.