Provider Demographics
NPI:1841580776
Name:HIRSCH, DAVID ELKIND
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ELKIND
Last Name:HIRSCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 MILBANK CIR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-3823
Mailing Address - Country:US
Mailing Address - Phone:225-938-6459
Mailing Address - Fax:
Practice Address - Street 1:2449 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2399
Practice Address - Country:US
Practice Address - Phone:318-212-7960
Practice Address - Fax:318-212-7965
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.208033207L00000X, 207LP2900X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology