Individual
DR. BIJAN MOTAGHEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 RUE DE SANTE, SUITE11, LA PLACE, LA 70068-5400
(985) 652-4229
(985) 652-4270
Mailing address
501 RUE DE SANTE, SUITE11, LA PLACE, LA 70068-5400
(985) 652-4229
(985) 652-4270
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
04347R
LA
207YX0602X
Otolaryngic Allergy Physician
Primary
04347R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309583
—
LA
Enumeration date
11/15/2007
Last updated
01/30/2017
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