NPI 1831683119 · live from the CMS NPI Registry
Benedict Amalraj
Internal Medicine in Shreveport, LA. National Provider Identifier 1831683119, active.
NPI record
| NPI | 1831683119 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 1541 Kings Hwy, Shreveport, LA 71103 |
| Practice phone | 318-626-0000 |
| Mailing address | 1512 W Kirby Pl, Shreveport, LA 71103 |
| Enumerated | June 19, 2018 |
| Last updated | March 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 328085 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.