Aditya Bamboria
Aditya Bamboria is a Family Practice in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1501 Kings HwyShreveport, LA 71103-4228
Phone: (318) 330-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 82886 (CT) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1285339663 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2023 |
| Last updated in NPPES | April 24, 2026 |
| Certification date | April 24, 2026 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2026 (0 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Shreveport
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Gail M Amison, MD
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Pratibha Anne, MD
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-
Atossa Stanley MD and Willis-Knighton Medical Center
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-
Luke Minao Baudoin, MD
1501 Kings Hwy Dept OF Family Medicine, Shreveport, LA 71103-4228 · (318) 675-5815
-
Dr. Charles Edward Baxter, MD
1501 Kings Hwy, Shreveport, LA 71103-4228 · (318) 675-5640
-
Jack L. Berg, MD
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-
Dr. Thomas Jeffrey Bernard, MD
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