Healthcare Provider Details

I. General information

NPI: 1831066471
Provider Name (Legal Business Name): BAYOU SLEEP MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 TEXAS ST STE 101
SHREVEPORT LA
71101-3514
US

IV. Provider business mailing address

918 FAIRVIEW ST
SHREVEPORT LA
71104-4230
US

V. Phone/Fax

Practice location:
  • Phone: 318-415-6710
  • Fax:
Mailing address:
  • Phone: 318-415-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ANAND BHAT
Title or Position: OWNER
Credential: MD
Phone: 318-415-6710