Individual
DR. POUYA DASTOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4541 HASTINGS ST, METAIRIE, LA 70006-2819
(617) 763-6116
Mailing address
4541 HASTINGS ST, METAIRIE, LA 70006-2819
(617) 763-6116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD040725
DC
Other
Enumeration date
02/11/2009
Last updated
11/03/2021
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