Moran, Edan Damian

Moran, Edan Damian is an individual health care provider with primary practice located at 3311 Prescott Rd , Alexandria LA 71301-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Moran, Edan Damian can be contacted via phone (318) 443-7222.

Contact Information

Primary practice address
3311 Prescott Rd Alexandria LA 71301-3900
Fax: (318) 443-7641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 022322 Louisiana

Profile Details

NPI number 1568440550
LBN Legal business name Moran, Edan Damian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568440550 NPPES
Louisiana MEDICAID 1492183

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