Organization
JEFFERSON HEADACHE AND SPINE,L.L.C.
Active
Organization
JEFFERSON HEADACHE AND SPINE,L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJIV KHURANA M.D. (MEMBER AND SOLE PROPRIETOR)
(504) 455-4999
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD STE 110, METAIRIE, LA 70006-4150
(504) 455-4999
(504) 455-9031
Mailing address
3800 HOUMA BLVD STE 110, METAIRIE, LA 70006-4150
(504) 455-4999
(504) 455-9031
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD.08395R
LA
Other
Enumeration date
11/20/2007
Last updated
12/04/2008
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