Individual
KIAN EHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 RUE LOUIS XIV, LAFAYETTE, LA 70508-5734
(337) 269-9777
(337) 269-0244
Mailing address
213 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 269-9777
(337) 269-0244
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.203015
LA
207RI0011X
Interventional Cardiology Physician
Primary
203015
LA
207RI0011X
Interventional Cardiology Physician
MD.203015
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507717
—
LA
Enumeration date
03/03/2008
Last updated
06/22/2021
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