Organization
KIDNEY CARE OF ACADIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASOUD YAZDI MD (OWNER MEDICAL DIRECTOR)
(337) 233-3538
Entity
Organization
Contact information
Practice address
224 SAINT LANDRY ST, SUITE 1-C, LAFAYETTE, LA 70506-3549
(337) 233-3538
Mailing address
224 SAINT LANDRY ST, SUITE 1-C, LAFAYETTE, LA 70506-3549
(337) 233-3538
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1432440
—
LA
Enumeration date
11/21/2006
Last updated
08/22/2020
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