OrganizationActive
Anesthesiology and Pain Management
NPI 1164514774 · Pain Medicine (Anesthesiology) Physician · Shreveport, LA
Provider details
- NPI number
- 1164514774
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Sudarshan Tanga, Ceo
Practice location
1666 E Bert Kouns Loop
Suite 125
Shreveport, LA 71105-5714
Phone: (318) 752-7960
Fax: (318) 752-7880
Mailing address
1666 E Bert Kouns Loop
Shreveport, LA 71105-5714
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2012-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.