Active NPI
Anesthesiology and Pain Management
- Pain Medicine (Anesthesiology) Physician
- Shreveport, LA
National Provider Identifier
1164514774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ANESTHESIOLOGY AND PAIN MANAGEMENT
- Practice address
- 1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714 - Phone
- (318) 752-7960
- Fax
- (318) 752-7880
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudarshan Tanga, MD
- Title
- Ceo
- Phone
- (318) 752-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714
Mailing address
1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714
Phone (318) 752-7960
National Provider Directory
National Provider DirectoryLocations
2400 Hospital Dr
Ste 330
Bossier City, LA 71111
Phone (318) 212-7960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1164514774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 E BERT KOUNS LOOP",
"address_2": "SUITE 125",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055714",
"telephone_number": "318-752-7960",
"fax_number": "318-752-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 E BERT KOUNS LOOP",
"address_2": "SUITE 125",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055714",
"telephone_number": "318-752-7960",
"fax_number": "318-752-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIOLOGY AND PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "TANGA",
"authorized_official_first_name": "SUDARSHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-752-7960",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.