Southern Vascular Associates Llc

LBN: Southern Vascular Associates Llc
Southern Vascular Associates Llc is an health care organization with primary practice located at 127 Queensberry Dr , Lafayette LA 70508-5421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Southern Vascular Associates Llc can be contacted via phone (337) 356-1252, or through Ghanami, Racheed Joseph via phone (337) 356-1252.

Contact Information

Primary practice address
127 Queensberry Dr Lafayette LA 70508-5421
Phone: (337) 356-1252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ghanami, Racheed Joseph Doctor of Medicine (MD)
Phone: (337) 356-1252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 205214 Louisiana

Profile Details

NPI number 1578942512
LBN Legal business name Southern Vascular Associates Llc
DBA Doing business as
Authorized official Ghanami, Racheed Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2015
Last updated May 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578942512 NPPES
Louisiana MEDICAID 2315617

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