IndividualActive
Mario Lobao Goncalves, MD
NPI 1063922573 · Sports Medicine (Orthopaedic Surgery) Physician · Shreveport, LA
Provider details
- NPI number
- 1063922573
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 328121 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Approximate (ZIP-level) locationGet directions
Mailing address
1541 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2024-11-14
- Certified
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.