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NPI 1730277831

NPI 1730277831 : DAVID K CALETRI MD : SHREVEPORT, LA

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General NPI Number Information
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    NPI Number           |    1730277831
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID K CALETRI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/11/2006
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    1453 E BERT KOUNS INDUSTRIAL LOOP 
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    City                 |    SHREVEPORT
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    State                |    LA
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    Zip                  |    71105-6800
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    Country              |    US
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    Telephone            |    318-681-4126
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 APACHE RD 
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    City                 |    HOUMA
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    State                |    LA
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    Zip                  |    70360-6036
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    Country              |    US
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    Telephone            |    985-858-3400
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    Fax                  |    985-858-3346
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    019849
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    License Number State |    LA
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