Sudarshan Manikchand Tanga, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD.13420R Issued in LA

Practice address

8730 Youree Drive
Suite C
Shreveport, LA 71115

Phone

(318) 752-7960

Fax

(318) 752-7880

NPI assigned

Aug 15, 2006

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 1, 2015 through Nov 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesiology and Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Shreveport, LA
  • NPI 1164514774
  Authorized official Same address or phone
• WK Pierremont Psychiatry

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1912230244
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1336152610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-221-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 YOUREE DRIVE",
            "address_2": "SUITE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71115",
            "telephone_number": "318-752-7960",
            "fax_number": "318-752-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGA",
        "first_name": "SUDARSHAN",
        "middle_name": "MANIKCHAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "MD.13420R",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "MD.13420R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tambria Hunt LLC
• Mehmet Numan Tamer
• Tandem Anesthesia LLC
• Neeraj Tandon, M.D.
• Srimathi Prasad Tanga, MD
• Surinder Singh Tank, MD
• Vilmogil Tactay Tano, M.D.
• Tap-Alert
• Mihaly Benjamin Tapolyai, M.D.
• Mohammad Abeel Tariq, MD, MBBS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.