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NTA OPEOLUWA BOCO MD
NPI 1922590454
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since May 31, 2018
1501 KINGS HIGHWAY, INTERNAL MEDICINE, SHREVEPORT, LA 71130(318) 626-0434 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nta Opeoluwa Boco Md NPPES

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

NTA OPEOLUWA BOCO MD (NPI 1922590454) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1922590454
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNTA OPEOLUWA BOCOCredential: MD
Location Address1501 KINGS HIGHWAY, INTERNAL MEDICINEShreveport, LA 71130
Mailing Address1501 Kings Highway, Internal MedicineShreveport, LA 71130 · (318) 626-0434
Phone(318) 626-0434
Sole ProprietorYes
Enumeration DateMay 31, 2018
✔ NPI 1922590454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1501 KINGS HIGHWAY, Shreveport, LA 71130
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Other Providers at the Same Location NPPES 20

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

BRIAN PATRICK MARTIN MD
Emergency Medicine
1501 KINGS HIGHWAY
SHREVEPORT, LA 71130
Bossier Parish (318) 675-7205
JOHN AUSTIN BRADSHAW MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, INTERNAL MEDICINE
SHREVEPORT, LA 71130
Bossier Parish (318) 626-0434
EKIN OZLUK MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, PATHOLOGY
SHREVEPORT, LA 71130
Bossier Parish (318) 675-7822
MURRAY EVELYN PETERSEN MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, PSYCHIATRY
SHREVEPORT, LA 71130
Bossier Parish (318) 626-2445
JENNIFER LYNN HENLEY MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, PATHOLOGY
SHREVEPORT, LA 71130
Bossier Parish (318) 675-7822
HASSAN ALHUSSEIN MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, NEUROLOGY
SHREVEPORT, LA 71130
Bossier Parish (318) 626-2482
AMEYA A. ASARKAR MD
Otolaryngology
1501 KINGS HIGHWAY
SHREVEPORT, LA 71130
Bossier Parish (318) 813-2690
DIANA JI-HAE SONG DO
Student in an Organized Health Care Education/Training Program
1501 KINGS HIGHWAY, INTERNAL MEDICINE
SHREVEPORT, LA 71130
Bossier Parish (318) 626-0434

Frequently Asked Questions

What is Nta Boco's NPI number?

The NPI number assigned to this healthcare provider is 1922590454, enumerated as an "individual" on May 31, 2018.

Where is the provider located?

The provider is located at 1501 KINGS HIGHWAY INTERNAL MEDICINE SHREVEPORT, LA 71130 and the phone number is (318) 626-0434.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.