Search › Louisiana › 1223G0001X
Deepasulochana Sivasankaraganesan, D.M.D
NPI 1326418518 · on the registry since 2015
Practice
- Address
- 3719 Jewella Ave
Shreveport, LA 71109 - Phone
- (318) 550-3362
- Organisation at this address
- Kool Smiles
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- MA, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana