Internal Medicine and Pediatrics Associates LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES LLC

Practice address

2551 Greenwood Rd #220
Shreveport, LA 71103

Phone

(318) 635-9855

Fax

(318) 635-9857

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajendra T Gandhi, MDNPI 1750379608

Title

President Ceo

Phone

(318) 635-9855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajendra T Gandhi, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1750379608
  NPD (past) Authorized official
• Kenneth Carl James Fitzgerald III, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1811985245
  NPD (past)
• Ashok R Kompelli, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1932197886
  NPD (past)
• Jodi Little Mullens, NP

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1831263490
  NPD (past)
• Allan S Matriano Lim, MD

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1649268590
  NPD (past)
• Victor Kai-Fu Hsiao, M.D.

  • Internal Medicine Physician
  • Conroe, TX
  • NPI 1316010002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205915121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD #220",
            "address_2": "PO BOX 37063",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-635-9855",
            "fax_number": "318-635-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD RD #220",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71103",
            "telephone_number": "318-635-9855",
            "fax_number": "318-635-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "318-635-9855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443425",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medical Associates of Doctors Hospital
• Gina Yi Inthavong, NURSE PRACTITIONER
• Cherise A Irby, MD
• Russell Irby
• Irving Place Associates, L.P. (Highland Place Rehab and Nursing Center)
• David L Irwin, SLP

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.