Sarah Kuruvilla, MD | |
1541 Kings Hwy, Shreveport, LA 71103-4228 | |
(318) 626-0000 | |
Not Available |
Full Name | Sarah Kuruvilla |
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Gender | Female |
Speciality | Family Medicine |
Location | 1541 Kings Hwy, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598177826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Q6762 (Texas) | Secondary |
207Q00000X | Family Medicine | BP10050109 (Texas) | Secondary |
207Q00000X | Family Medicine | 303111 (Louisiana) | Primary |
Entity Name | Texas Spine And Joint Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942292255 PECOS PAC ID: 0345272381 Enrollment ID: O20111102000147 |
Mailing Address | Practice Location Address |
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Sarah Kuruvilla, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287 | Sarah Kuruvilla, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
Ratnam Baby Nagalla, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 870 Olive St, Shreveport, LA 71104 Phone: 318-629-0480 Fax: 318-629-0483 | |
David Juston Colvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8383 Millicent Way, Shreveport, LA 71115 Phone: 318-797-6661 Fax: 318-795-8512 | |
Susan Michelle Self, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr, Suite 540, Shreveport, LA 71115 Phone: 318-212-3810 Fax: 318-212-3815 | |
Jaya R Mcsharma, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 700 Texas St Ste 101, Shreveport, LA 71101 Phone: 318-777-6843 Fax: 318-625-5520 | |
Dr. Kirk Anthony Grantham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118 Phone: 318-588-4726 Fax: 318-900-7828 | |
Ayesha Tabassom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833 | |
David Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7813 Youree Dr, Shreveport, LA 71105 Phone: 318-212-3830 Fax: 318-212-3835 |