Active NPI
Dharam P Gurwara Apmc
- Neurology Physician
- Shreveport, LA
National Provider Identifier
1639331283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 017034
- Legal business name
- DHARAM P GURWARA APMC
- Practice address
- 6047 Five Oaks Dr
Suite D
Shreveport, LA 71129-2596 - Phone
- (318) 752-2890
- Fax
- (318) 752-2890
- NPI assigned
- Jun 25, 2008
- 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
- Dharam Prakash Gurwara, M.D
- Title
- MD Owner
- Phone
- (318) 752-2890
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 017034 | LA | |
| Neurology Physician | 2084N0400X | 017034 | LA | Primary |
Addresses
Primary practice location
6047 Five Oaks Dr
Suite D
Shreveport, LA 71129-2596
Mailing address
PO Box 5027
Bossier City, LA 71171-5027
Phone (318) 752-2890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900885 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 Keyser Ave
Fl 4
Natchitoches, LA 71457
Phone (318) 214-4200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Shreveport, LA
- NPI 1689783342
Physical Medicine & Rehabilitation
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1982713657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1639331283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5027",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711715027",
"telephone_number": "318-752-2890",
"fax_number": "318-752-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6047 FIVE OAKS DR",
"address_2": "SUITE D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711292596",
"telephone_number": "318-752-2890",
"fax_number": "318-752-2890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DHARAM P GURWARA APMC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "GURWARA",
"authorized_official_first_name": "DHARAM",
"authorized_official_middle_name": "PRAKASH",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "318-752-2890",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "LA",
"license": "017034",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "017034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1900885",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Angeletter Evette Dewhart
- Lacynthia Dewhart
- Macy Madeline Dewitt
- Ashley Dexter, R.D.
- Sarita Dhakal, MD
- Ganesh Suryakant Dhoble, M.D.
- Marissa Leigh Di Napoli, MD
- Diabetes Assessment and Management Center of Shreveport LLC
- Diabetes Assessment and Management Center of Shreveport, LLC
- Diabetic Life Pulse of Louisiana, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.