Manas, Kenneth James

Manas, Kenneth James is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Medicine Gastroenterology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Manas, Kenneth James can be contacted via phone (318) 813-2528.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Medicine Gastroenterology Shreveport LA 71103-4228
Fax: (318) 813-2565
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 06583R Louisiana

Profile Details

NPI number 1700803525
LBN Legal business name Manas, Kenneth James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 19th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700803525 NPPES
Louisiana MEDICAID 1354848

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