Organization Active NPI

Ghanami Medical LLC

  • Specialist
  • Lafayette, LA
National Provider Identifier
1669802716
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
205214 Issued in LA
Legal business name
GHANAMI MEDICAL LLC
Practice address
155 Hospital Dr
Suite 410
Lafayette, LA 70503-2852
Phone
(337) 289-9700
Fax
(337) 289-9702
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Racheed Joseph Ghanami, MDNPI 1326263336
Title
Owner
Phone
(337) 289-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 205214 LA Primary

Addresses

Primary practice location

155 Hospital Dr
Suite 410
Lafayette, LA 70503-2852

Mailing address

155 Hospital Dr
Suite 410
Lafayette, LA 70503-2852
Phone (337) 289-9700

National Provider Directory

National Provider Directory

Locations

155 Hospital Dr
Ste 410
Lafayette, LA 70503
Phone (337) 235-4460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1669802716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "SUITE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-9700",
            "fax_number": "337-289-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "SUITE 410",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032852",
            "telephone_number": "337-289-9700",
            "fax_number": "337-289-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANAMI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "GHANAMI",
        "authorized_official_first_name": "RACHEED",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-289-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "205214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.