Willis Knighton Medical Center & M R Manchandia

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA

Practice address

2706 Shed Rd
Bossier City, LA 71111-3348

Phone

(318) 747-5272

Fax

(318) 746-9669

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Greg J Gavin

Title

Network Administrator

Phone

(318) 747-5272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manohar R. Manchandia, MD

  • Pediatrics Physician
  • Bossier City, LA
  • NPI 1023086873
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1992731301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113348",
            "telephone_number": "318-747-5272",
            "fax_number": "318-746-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 SHED RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113348",
            "telephone_number": "318-747-5272",
            "fax_number": "318-746-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS KNIGHTON MEDICAL CENTER & M R MANCHANDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-747-5272"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reata Conceata Williams
• Rodaejah Williams
• Shekena Yonetta Williams
• Torry Williams
• Wilmer Williams
• Willis Knighton Medical Center, Inc.
• Willis Knighton Ophthalmology Bossier
• Willis Transportation
• Willis-Knighton Medical Center and Diana M Lim MD
• Willis-Knighton Medical Center Mark Richard Mainous

• Pediatrics Physician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Pediatrics Physician in Louisiana

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

Verify at the official NPI Registry.