Organization
IMPACT NETWORK, LLC
Active
Organization
IMPACT NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD ZOHAIR PIRZADAH MD (OWNER)
(225) 505-7104
Entity
Organization
Contact information
Practice address
13636 HIGHLAND RD, BATON ROUGE, LA 70810-5013
(225) 505-7104
Mailing address
11408 LAKE SHERWOOD AVE N, SUITE A, BATON ROUGE, LA 70816-0406
(225) 214-0077
(225) 214-3423
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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