Healthcare Provider Details

I. General information

NPI: 1245211978
Provider Name (Legal Business Name): MARY CATHERINE ARANDA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 ELIZABETH AVE
SHREVEPORT LA
71104-2123
US

IV. Provider business mailing address

2032 ELIZABETH AVE
SHREVEPORT LA
71104-2123
US

V. Phone/Fax

Practice location:
  • Phone: 318-698-0035
  • Fax: 318-698-0078
Mailing address:
  • Phone: 318-698-0035
  • Fax: 318-698-0078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberMD.206564
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: