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Organization
MED ED OF LOUISIANA, INC.
Active
Organization
MED ED OF LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAHANYAR KHORSANDI M.D. (PRESIDENT)
(337) 332-0222
Entity
Organization
Contact information
Practice address
209 CHAMPAGNE BLVD., BREAUX BRIDGE, LA 70517-3700
(337) 332-0222
(337) 332-1102
Mailing address
209 CHAMPAGNE BLVD, BREAUX BRIDGE, LA 70517-3700
(337) 332-0222
(337) 332-1102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023722
LA
Other
Enumeration date
12/08/2006
Last updated
12/31/2015
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