Individual
DR. BAHRAM ZAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 701, KENNER, LA 70065-2489
(504) 464-8738
(504) 464-8717
Mailing address
200 W ESPLANADE AVE, SUITE 701, KENNER, LA 70065-2489
(504) 464-8738
(504) 464-8717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.04022R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193844
—
LA
01
—
5K981C207
MEDICARE PTAN:
LA
Enumeration date
06/12/2006
Last updated
07/30/2010
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