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Manoranjan Boddapati, MD
Hematology & Oncology Physician in Shreveport, Louisiana
NPI 1134147689

Manoranjan Boddapati is a Hematology & Oncology Physician based in Shreveport, LA and is specialized in Hematology & Oncology. Manoranjan Boddapati practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Manoranjan Boddapati is 1134147689 and holds a License No. 15337R (Louisiana).

The current practice location address for Manoranjan Boddapati is 510 E Stoner Ave, Shreveport, LA and can be reached out via phone at 318-424-6064 and via fax at 318-424-6179.

Location: 510 E Stoner Ave, Shreveport, LA, 71101-4243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134147689
Provider Name
Manoranjan Boddapati
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 E Stoner Ave, Shreveport, LA, 71101-4243
Phone Number
318-424-6064
Fax Number
318-424-6179
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174548 05 LA
institution
Provider Business Practice Location Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-424-6064
Fax Number
318-424-6179
person
Provider Business Mailing Address Details
Address
510 E Stoner Ave
City
Shreveport
State
Louisiana
Zip
71101-4243
Phone Number
318-424-6064
Fax Number
318-424-6179
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
15337R (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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