Organization
BIJAN MOTAGHEDI M. D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJAN MOTAGHEDI M.D. (PRESIDENT/SOLO PRACTI.)
(985) 652-4229
Entity
Organization
Contact information
Practice address
501 RUE DE SANTE, SUITE #11, LA PLACE, LA 70068-5400
(985) 652-4229
(985) 652-4270
Mailing address
501 RUE DE SANTE, SUITE #11, LA PLACE, LA 70068-5400
(985) 652-4229
(985) 652-4270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04347R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309583
—
LA
Enumeration date
08/23/2006
Last updated
02/20/2008
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