Sadeghpour, Bahram

Sadeghpour, Bahram is an individual health care provider with primary practice located at 843 Milling Ave , Luling LA 70070-4442. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Sadeghpour, Bahram can be contacted via phone (985) 785-5852.

Contact Information

Primary practice address
843 Milling Ave Luling LA 70070-4442
Fax: (985) 785-5811
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 07643R Louisiana

Profile Details

NPI number 1619960432
LBN Legal business name Sadeghpour, Bahram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jan 10th, 2008 - about 17 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 1619960432 NPPES
Louisiana MEDICAID 1385671

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