DR. STEVEN C WHITED MD

Allergy and Immunology

Shreveport, Louisiana

Provider NPI: 1679577340

Provider Information:
DR. STEVEN C WHITED MD


Practice Location:
1455 E BERT KOUNS LOOP  SHREVEPORT, LA 71105 US
Tel: 318-798-4573  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	LA	04612R

Other Provider Identifiers:

Issuer	Number	State	Type
RAILROAD MEDICARE	030002753	LA	01
TEXAS MEDICAID NUMBER	106533601	TX	01
ARKANSAS MEDICAID NUMBER	139731001	AR	01
GROUP NPI NUMBER	1053315946	LA	01
	1193976	LA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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