Matthew Bryan Mastrodomenico, MD
Matthew Bryan Mastrodomenico, MD practises Pathology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2011, 15 years ago. Practices with The Delta Pathology Group LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Louisiana and South Carolina.
- Years since qualifying
- 15
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- LA, SC
- In the registry since
- 2011
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2915 Missouri AveShreveport, LA 71109-4327 Not confirmed with CMS for 10 years — call before visiting
Phone: (318) 621-8820
Fax: (318) 212-4189
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence MD.301728 (LA) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence MD37690 (SC) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1487944930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 17, 2011 |
| Last updated in NPPES | July 22, 2016 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2011 (15 years in practice) |
| Group practice | The Delta Pathology Group Llc — 28 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Colleagues at The Delta Pathology Group LLC
- Dr. George Robert Collins, DO Anatomic Pathology & Clinical Pathology Physician · Alexandria, LA
- M'Liss Crosier, MD Anatomic Pathology & Clinical Pathology Physician · Lafayette, LA
- Dr. Jack Logan Harbert, MD Student in an Organized Health Care Education/Training Program · New Orleans, LA
- Bruce Herrington, MD Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
- Dr. Vivek Khare, MD Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
- John E Maxwell II, MD Anatomic Pathology & Clinical Pathology Physician · West Monroe, LA
- Dr. Michael W. Miguez, MD Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
- Dr. Oluwatobi Ohiole Ozoya, MD, MPH Hematology (Pathology) Physician · Shreveport, LA
- Dr. Jordan Andrew Roberts, MD Anatomic Pathology & Clinical Pathology Physician · Covington, LA
- Dr. Andrew Blake Sholl, MD Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
- Gregory Phillip Wellman, MD Anatomic Pathology & Clinical Pathology Physician · Shreveport, LA
- Dr. Brian L Wilkinson Anatomic Pathology & Clinical Pathology Physician · Meridian, MS
Other providers in Shreveport
-
Dr. William J. Liles Jr., MD
2915 Missouri Ave, Shreveport, LA 71109-4327 · (318) 364-2000
-
Louisiana State University Health Sciences Center
1501 Kings Hwy, Shreveport, LA 71103-4228 · (318) 675-5700
-
Louisiana State University Health Sciences Center
1501 Kings Highway Lsuhsc-S Clinics, Shreveport, LA 71103-4228 · (318) 603-8022
-
Harrison D Martin, MD
1000 E Preston Ave, Shreveport, LA 71105-2704 · (318) 841-9532
-
Dr. Bernadette McLaren, MD
2915 Missouri Ave, Shreveport, LA 71109-4327 · (318) 364-2000
-
Dr. Michael W. Miguez, MD
2915 Missouri Ave, Shreveport, LA 71109-4327 · (318) 364-2000
-
Rusella Mirza, MD, PHD
1541 Kings Hwy, Shreveport, LA 71103-4228 · (318) 675-7822
-
Sabrina M. Oneto, MD
1541 Kings Hwy, Shreveport, LA 71103-4228 · (318) 626-0000