| Elisa Chwoschtschinsky, MD | |
|
1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103-4228 | |
| (318) 675-5000 | |
| Not Available |
| Full Name | Elisa Chwoschtschinsky |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1501 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 |
|---|---|---|---|
| 1710198460 | NPI | - | NPPES |
| 4M948F600 | Other | LA | MEDICARE - PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 202904 (Louisiana) | Primary |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Chwoschtschinsky, MD 1512 W Kirby Pl, Shreveport, LA 71103-3822 Ph: (318) 626-0287 | Elisa Chwoschtschinsky, MD 1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103-4228 Ph: (318) 675-5000 |
Dr. Srinivas Potturi, M.D., Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Dr. Russell Scott Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Tahir Ahmad, Radiology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Linda Angell Nall, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Department Of Radiology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666 | |
Joseph W Milner Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Jose Alba, MD Radiology Medicare: Medicare Enrolled Practice Location: 2600 Greenwood Rd, Shreveport, LA 71103 Phone: 318-212-4550 | |
Dr. Naveen Gunji, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 |