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Organization

GHANAMI MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEED JOSEPH GHANAMI MD (OWNER)
(337) 289-9700
Entity
Organization

Contact information

Practice address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702
Mailing address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205214
LA

Other

Enumeration date
11/26/2013
Last updated
11/26/2013
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