Promas LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

014269R Issued in LA

Legal business name

PROMAS LLC

Practice address

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105

Phone

(318) 681-4126

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Roscoe Ho-Keung Chan

Title

Owner

Phone

(318) 681-4126

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1770809238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52078",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352078",
            "telephone_number": "800-828-9227",
            "fax_number": "318-861-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-681-4126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Mary Pl",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014343",
            "country_code": "US",
            "telephone_number": "318-681-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ROSCOE",
        "authorized_official_middle_name": "HO-KEUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-681-4126",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "014269R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183754002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Radiation Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.