Individual
DR. ABDOLREZA VADIEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
125 E SAINT BERNARD HWY, CHALMETTE, LA 70043-5159
(504) 278-1414
(504) 278-1455
Mailing address
125 E SAINT BERNARD HWY, CHALMETTE, LA 70043-5159
(504) 278-1414
(504) 278-1455
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
023512
LA
208D00000X
General Practice Physician
023512
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486183
—
LA
01
—
250012301
RAILROAD MEDICARE
—
Enumeration date
04/18/2006
Last updated
09/03/2013
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