IndividualActive
Aditya Bamboria
NPI 1285339663 · Family Medicine Physician · Shreveport, LA
Provider details
- NPI number
- 1285339663
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 82886 (CT)
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2023-04-04
- Last updated
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.