Takalkar, Amol Madan
Takalkar, Amol Madan is an individual health care provider with primary practice located at 1505 Kings Hwy Pet Imaging Center, Brf, Shreveport LA 71103-4228. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Takalkar, Amol Madan can be contacted via phone (318) 675-4050.Contact Information
Primary practice address
1505 Kings Hwy Pet Imaging Center, Brf
Shreveport LA 71103-4228
Phone: (318) 675-4050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine | 207UN0903X | MD.200309 | Louisiana |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | MD.200309 | Louisiana |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 85681 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD.200309 | Louisiana |
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | MD.200309 | Louisiana |
Profile Details
| NPI number | 1619931060 |
|---|---|
| LBN Legal business name | Takalkar, Amol Madan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | May 26th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619931060 | NPPES |
| Louisiana | MEDICAID | 1626554 |
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