Individual
KEYAN FAHIMIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 DAVID DR, KENNER, LA 70065-1531
(504) 231-0470
Mailing address
5601 DAVID DR, KENNER, LA 70065-1531
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12829
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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