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SUDHA RAO MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1447296504
Pediatrics in Shreveport, LA

Active since June 20, 2006
2518 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118(318) 212-5437(318) 212-5825 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sudha Rao Md And Willis-knighton Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUDHA RAO MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI 1447296504) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1447296504
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSUDHA RAO MD AND WILLIS-KNIGHTON MEDICAL CENTER
Location Address2518 BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71118-3112
Mailing Address2518 Bert Kouns Industrial LoopShreveport, LA 71118-3112 · (318) 212-5437 · Fax (318) 212-5825
Phone(318) 212-5437
Fax(318) 212-5825
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-5437
Enumeration DateJune 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447296504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2518 BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSMITHA ANUMUKONDA MBBH
Pediatrics
2518 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5437
SUDHA ASHOK RAO MD
Pediatrics
2518 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sudha Rao MD And Willis-Knighton Medical Center's NPI number?

The NPI number for Sudha Rao MD And Willis-Knighton Medical Center is 1447296504. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Sudha Rao MD And Willis-Knighton Medical Center located?

Sudha Rao MD And Willis-Knighton Medical Center is located at 2518 Bert Kouns Industrial Loop, Shreveport, LA 71118. The listed phone number is (318) 212-5437.

What is Sudha Rao MD And Willis-Knighton Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sudha Rao MD And Willis-Knighton Medical Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.