Med Ed of Louisiana, Inc.
NPI #1114086576 in Breaux Bridge, Louisiana
Provider Information
- NPI Number
- 1114086576
- Entity Type
- Organization
- Organization Name
- Med Ed of Louisiana, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Dec 31, 2015
Practice Location
- Address
- 209 CHAMPAGNE BLVD.
- City
- Breaux Bridge
- State
- Louisiana
- ZIP Code
- 70517-3700
- Phone
- (337) 332-0222
Authorized Official
- Name
- DR. JAHANYAR KHORSANDI, M.D.
- Title
- PRESIDENT
- Phone
- (337) 332-0222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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