person
Shiva Doty, PA-C
Medical Physician Assistant in Shreveport, Louisiana
NPI 1912933110

Shiva Doty is a Medical Physician Assistant based in Shreveport, LA and is specialized in Medical. Shiva Doty practices in Shreveport, LA and has the professional credentials of PA-C. The NPI Number for Shiva Doty is 1912933110 and holds a License No. PA200026 (Louisiana).

The current practice location address for Shiva Doty is 1501 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-675-7205 and via fax at 318-675-6878.

Location: 1501 Kings Hwy, Shreveport, LA, 71103-4228
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Provider Profile Details
NPI Number
1912933110
Provider Name
Shiva Doty
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1501 Kings Hwy, Shreveport, LA, 71103-4228
Phone Number
318-675-7205
Fax Number
318-675-6878
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1151726 05 LA
institution
Provider Business Practice Location Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-675-7205
Fax Number
318-675-6878
person
Provider Business Mailing Address Details
Address
1501 Kings Hwy
City
State
Zip
71103-4228
Phone Number
318-675-7205
Fax Number
318-675-6878
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA200026 (Louisiana)
Definition
Definition to come...
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