Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shreveport Internal Medicine, LLC

Organization Internal Medicine Physician · NPI 1700838513

Shreveport Internal Medicine, LLC is an Internal Medicine Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1449 E Bert Kouns Industrial Loop Ste 100
Shreveport, LA 71105-5634
Phone: (318) 629-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X (LA)

Record details

NPI number1700838513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Haynie — President · (318) 621-2929
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1449 E Bert Kouns Industrial Loop, Suite 100, Shreveport, LA 71105-5634

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