Individual
DR. FIROOZ JALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 COOLIDGE BLVD, STE 203, LAFAYETTE, LA 70503-2636
(337) 233-2535
(337) 235-0157
Mailing address
PO BOX 52545, LAFAYETTE, LA 70505-2545
(337) 233-2535
(337) 235-0157
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
05553R
LA
2080P0206X
Pediatric Gastroenterology Physician
Primary
05553R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1314340
—
LA
Enumeration date
07/04/2006
Last updated
03/31/2008
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