person
Brett A. Koder, MD
Specialist in Shreveport, Louisiana
NPI 1073508016

Brett A. Koder is a Specialist based in Shreveport, LA. Brett A. Koder practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Brett A. Koder is 1073508016 and holds a License No. MD.017292 (Louisiana).

The current practice location address for Brett A. Koder is 7847 Youree Dr, Shreveport, LA and can be reached out via phone at 318-212-3960 and via fax at 318-212-3907. You can also correspond with Brett A. Koder through the mailing address at 7847 YOUREE DR, SHREVEPORT, LA - 71105-5505 (mailing address contact number: 318-212-3960).

Location: 7847 Youree Dr, Shreveport, LA, 71105-5505
person
Provider Profile Details
NPI Number
1073508016
Provider Name
Brett A. Koder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7847 Youree Dr, Shreveport, LA, 71105-5505
Phone Number
318-212-3960
Fax Number
318-212-3907
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
343004 01 NC COVENTRY HEALTHCARE
1041160 01 NC UNITED HEALTHCARE
15359 01 NC PARTNERS HEALTHPLAN
269370YNUV 01 LA MEDICARE PTAN
1974677 05 LA
8950035 05 NC
2567929006 01 NC CIGNA HEALTHCARE
2103801 01 NC MAMSI
120247 05 SC
163923 01 NC MIDSOUTH INS
2019474 01 NC AETNA HEALTHPLAN
040011888 01 NC RAILROAD MEDICARE
50035 01 NC BLUE CROSS BLUE SHIELD
73986 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
7847 Youree Dr
City
State
Zip
71105-5505
Phone Number
318-212-3960
Fax Number
318-212-3907
person
Provider Business Mailing Address Details
Address
7847 Youree Dr
City
State
Zip
71105-5505
Phone Number
318-212-3960
Fax Number
318-212-3907
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
96-00594 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
MD.017292 (Louisiana)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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