Individual
AMIR BAGSHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6690
Mailing address
1814 W NORTHGATE DR, IRVING, TX 75062-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61910-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2009
Last updated
02/28/2018
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