MD CLINICS LLC (NPI# 1699260083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699260083 |
| Entity Type | Organization |
| Organization Name | MD CLINICS LLC |
| Other Organization Name | MANISH DHAWAN |
| Practice Address |
850 Olive St Shreveport LA 71104-2162 |
| Mailing Address |
Po Box 4506 Shreveport LA 71134-0506 |
| Practice Telephone | 3184698388 |
| Practice Fax Number | 3189291317 |
| Mailing Telephone | 3184534245 |
| Mailing Fax Number | 8052954715 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | DR. MANISH DHAWAN (MD) |
| Authorized Official Telephone | 3184534245 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2505777 | 05 |
| Other Name | Type Code |
|---|---|
| Manish Dhawan | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10600 Industrial Dr, Minden, LA 710555105 | 3182394860 | 8052954715 |
| 211 Medical Dr, Natchitoches, LA 714576052 | 3184534245 | 3189291317 |
| 850 Olive St, Shreveport, LA 711042162 | 3184698388 | 3189291317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492184 | Md Clinics LLC | Clinic/Center | 10600 Industrial Dr, Minden, LA 71055-5105 | 2019-11-18 |
| Street Address |
850 OLIVE ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023668 | Robert C. Holladay | Internal Medicine | 850 Olive St, Ste A, Shreveport, LA 71104-2162 | 2005-06-20 |
| 1821129560 | Pulmonary Medicine Associates | Internal Medicine | 850 Olive St, Suite A, Shreveport, LA 71104-2162 | 2007-03-07 |
| 1053308742 | Ioannis A. Moissidis | Allergy & Immunology | 850 Olive St, Suite B, Shreveport, LA 71104-2162 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1881691194 | Magnolia Rehabiliation Services Inc | Clinic/Center | 2005 Creswell Ave, 4908 P.o.box Shreveport La .71134, Shreveport, LA 71104-2201 | 2005-06-30 |
| 1821225806 | Magnolia Diagonstic Services Inc. | Clinic/Center | 2005 Creswell Ave, Shreveport, LA 71104-2201 | 2009-06-17 |
| 1912053828 | The Center for Therapy, Inc | Clinic/Center | 1800 Buckner St, Suite C-200, Shreveport, LA 71101-4440 | 2007-01-25 |
| 1386660363 | Christus Health Northern Louisiana | Clinic/Center | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-07-14 |
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| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1235616194 | Pathways Addiction Recovery, LLC | Clinic/Center | 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 | 2018-07-24 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1912436213 | Third Hand Assisting Inc | Clinic/Center | Po Box 141, Talisheek, LA 70464-0141 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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| 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.