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NPI Code Detail

MEDICARE: SELMIN SIPAHI

MEDICARE:   SELMIN  SIPAHI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528178100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SELMIN SIPAHI
Provider Business Mailing Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Provider Business Practice Location Address
First Line : 4727 REVERE AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-3168
Country : US
Telephone Number : 225-924-0123
Fax Number : 225-924-5455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/28/2009

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Directions to “ SELMIN SIPAHI ” Practice Location

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