Individual
NIDAULLAH MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY STE 401B, LAFAYETTE, LA 70508-7265
(337) 470-4978
(337) 470-4238
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0001
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
324404
LA
2084N0400X
Neurology Physician
BP10063913
TX
Other
Enumeration date
08/12/2014
Last updated
04/07/2021
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