NPI 1003825472 · live from the CMS NPI Registry
Andrew Dentino MD And Willis-Knighton Medical Center
Internal Medicine in Shreveport, LA. National Provider Identifier 1003825472, active.
NPI record
| NPI | 1003825472 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 2551 Greenwood Rd, Suite 310, Shreveport, LA 71103 |
| Practice phone | 318-212-8780 |
| Enumerated | August 5, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Greg Gavin, Network Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.