-- SANJEEVI C. TIVAKARAN -- MD
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1528199023- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2400 HOSPITAL DR SUITE 220, BOSSIER CITY, LA, 711112385
- Phone
- (318) 752-7840
- Fax
- (318) 752-7845
Specialties & Taxonomies
Psychiatry & Neurology, Neurology
Primary License: LA #11838R