NEUROLOGY CLINIC, LLC
Neurology at Hospital Dr, Bossier City, LA

License number
Louisiana 11838R
Category
Neurology
Type
Neurology
Owner
Name: SANJEEVI C. TIVAKARAN M.D.
Title: CEO
Phone: (318) 741-2900
Address
Address
2400 Hospital Dr SUITE 310, Bossier City, LA 71111
National Provider ID: 1205928819
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEUROLOGY CLINIC, LLC

Bossier City, LA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 7, 2000
Addresses:
2400 Hospital Dr, Bossier City, LA 71111 (Physical)
C/O Sanjeevi C Tivakaran, Bossier City, LA 71111 (Mailing)
State ID:
34962269K
Business type:
Limited Liability Company
Medical Assistants:
Sanjeevi C. Tivakaran, M.d (Manager), 2400 Hospital Dr, Bossier City, LA 71111 (Physical),Amy Walker Physician Assistant, inactive,Brittany N. Duelm Receptionist Secretary, inactive,...

Neurology licenses in Louisiana

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