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Organization

HOSSEIN KHAZEI TABARI LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOSSEIN K TABARI M.D. (PHYSICIAN)
(985) 735-7810
Entity
Organization

Contact information

Practice address
1616 S COLUMBIA ST, SUITE E, BOGALUSA, LA 70427-5880
(985) 735-7810
(985) 732-0495
Mailing address
1616 S COLUMBIA ST, SUITE E, BOGALUSA, LA 70427-5880
(985) 735-7810
(985) 732-0495

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
06731R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06731R
LA STATE LICENSE
LA
05
1350443
LA
Enumeration date
01/08/2007
Last updated
07/31/2014
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