Organization
AHMAD MANOUCHEHRI MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD MANOUCHEHRI MD (PRESIDENT)
(504) 342-4708
Entity
Organization
Contact information
Practice address
15799 PROFESSIONAL PLZ, HAMMOND, LA 70403-1452
(985) 345-5621
(985) 345-5622
Mailing address
1340 POYDRAS ST, SUITE 1850, NEW ORLEANS, LA 70112-1221
(504) 342-4708
(504) 679-9928
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1307513
—
LA
Enumeration date
04/19/2006
Last updated
08/22/2020
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