MEDICARE: CVT SURGEONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427002955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CVT SURGEONS, INC

Provider Business Mailing Address
First Line	:	3300 ALBERT L BICKNELL DR
Second Line	:	SUITE 6
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-3903
Country	:	US
Telephone Number	:	318-636-5724
Fax Number	:	318-636-5728

Provider Business Practice Location Address
First Line	:	3300 ALBERT L BICKNELL DR
Second Line	:	SUITE 6
City	:	SHREVEPORT
State	:	LA
Zip	:	71103-3903
Country	:	US
Telephone Number	:	318-636-5724
Fax Number	:	318-636-5728

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MILON G. KARMAKAR
Credential	:	M.D.
Telephone Number	:	318-636-5724

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/22/2020

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Directions to “CVT SURGEONS, INC ” Practice Location

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