Bijan Motaghedi M. D. a Medical Corporation
Organization Active NPI Specialist · La Place, LA
NPI 1295842599 · NPPES record last updated Feb 20, 2008
Key facts
- NPI
- 1295842599
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 04347R (LA)
- Legal business name
- BIJAN MOTAGHEDI M. D. A MEDICAL CORPORATION
- Practice address
- 501 Rue de Sante
Suite #11
La Place, LA 70068-5400 - Phone
- (985) 652-4229
- Fax
- (985) 652-4270
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Bijan Motaghedi, M.D.
- Title
- President/Solo Practi.
- Phone
- (985) 652-4229
National Provider Directory
Locations
501 Rue de Sante
Ste 11
La Place, LA 70068
Phone (985) 233-4328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 04347R | LA | Yes |
Addresses
Primary practice location
501 Rue de Sante
Suite #11
La Place, LA 70068-5400
Mailing address
501 Rue de Sante
Suite #11
La Place, LA 70068-5400
Phone (985) 652-4229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1309583 | Medicaid | LA |
Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.