Organization
ST TAMMANY HEART & VASCULAR INSTITUTE
Active
Organization
ST TAMMANY HEART & VASCULAR INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD X ADULI MD (MANAGING MEMBER)
(985) 871-6020
Entity
Organization
Contact information
Practice address
20 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6020
(985) 898-7907
Mailing address
PO BOX 62600, DEPT 1392, NEW ORLEANS, LA 70162-2600
(985) 871-6020
(985) 871-6027
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444707
—
LA
01
—
DA3800
RAILROAD MEDICARE
LA
Enumeration date
05/30/2006
Last updated
03/05/2011
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