Individual
FAHIMEH HANACHI TAHVILDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6736 PIKES LN, BATON ROUGE, LA 70808-4274
(225) 767-6615
Mailing address
6736 PIKES LN, BATON ROUGE, LA 70808-4274
(225) 767-6615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.3871R
LA
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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