1356635668 NPI number — R. JOSEPH TAMIMIE, MD, APMC

Table of content: (NPI 1356635668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356635668 NPI number — R. JOSEPH TAMIMIE, MD, APMC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R. JOSEPH TAMIMIE, MD, APMC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EAST JEFFERSON OCCUPATIONS MEDICINE CLINIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356635668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3601 HOUMA BLVD.
Provider Second Line Business Mailing Address:
#203
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-779-2667
Provider Business Mailing Address Fax Number:
504-889-7120

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2552 WILLIAMS BLVD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENNER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70062
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-467-5748
Provider Business Practice Location Address Fax Number:
504-466-5661
Provider Enumeration Date:
06/03/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TAMIMIE
Authorized Official First Name:
RASHID
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
504-779-2667

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  06979R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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