Dr. Fred M Sullivan Jr.
MD | Pediatrics | Male
Dr. Fred M Sullivan Jr., MD is a Shreveport, Louisiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Fred M Sullivan Jr. is
1501 Kings Hwy, Shreveport, Louisiana - 71103-4228. He can be contacted on phone at
318-675-5000.
Dr. Fred M Sullivan Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Fred M Sullivan Jr. is
1841396611 which was assigned by NPPES on 16 Sep, 2006 and it was last updated on 15 May, 2012.
Dr. Fred M Sullivan Jr. license number is
016881 for Pediatrics (208000000X) in Louisiana.
Dr. Fred M Sullivan Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Fred M Sullivan Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Fred M Sullivan Jr. |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Fred M Sullivan Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1501 Kings Hwy
Shreveport, LA, 71103-4228
United States |
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| Phone Number : | 318-675-5000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841396611 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Sep, 2006 |
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| Last Updated On : | 15 May, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fred M Sullivan Jr. are as mentioned. Primary taxonomy code for Dr. Fred M Sullivan Jr., MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 016881 | LA |
| 208000000X | Pediatrics | Yes | 016881 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Fred M Sullivan Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5M257F600 | Other | LA | MEDICARE - PTAN |
| 1345261 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1512 W Kirby Pl
Shreveport, LA, 71103-3822
United States |
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| Phone Number : | 318-675-7636 |
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Business Location:
Patients can refer following map for directions to
Dr. Fred M Sullivan Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.