Family Medicine
PRAKASH GIDDALURI MD, MPH
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164603478 · enumerated 2007-11-15 · record updated 2022-11-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA, 71105-5718 (318) 212-3520 Fax (318) 212-3525 Google Maps Apple Maps OpenStreetMap
- Practice location 1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA, 71105-5718 (318) 212-3520 Fax (318) 212-3525 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · License PHY TEMP TX
- Family Medicine 207Q00000X · License N0788 TX
- Family Medicine 207Q00000X · Primary · License 324787 LA
In this directory
Locations and evidence
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Practice location
SHREVEPORT, LA, 711055718
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.