1821323361 NPI number — FARHANA AMIR, MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821323361 NPI number — FARHANA AMIR, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FARHANA AMIR, MD
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:
Provider Other Organization Name Type Code:
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:
1821323361
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 W SAINT MARY BLVD
Provider Second Line Business Mailing Address:
SUITE 320
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70506-4600
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-289-4533
Provider Business Mailing Address Fax Number:
337-289-4286

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 W SAINT MARY BLVD
Provider Second Line Business Practice Location Address:
SUITE 320
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70506-4600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-289-4533
Provider Business Practice Location Address Fax Number:
337-289-4286
Provider Enumeration Date:
10/15/2009

Additional Information

Authorized Official

Authorized Official Last Name:
AMIR
Authorized Official First Name:
FARHANA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN, OPERATOR
Authorized Official Telephone Number:
337-289-4533

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  203012 , 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)

  • Identifier: 1507563 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1356559751 . This is a "DR'S NPI" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1821323361 . This is a "GROUP NPI" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com