Healthcare Provider Details

I. General information

NPI: 1639005531
Provider Name (Legal Business Name): LOUISIANA HEART OUTPATIENT SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71070 HIGHWAY 21
COVINGTON LA
70433-7160
US

IV. Provider business mailing address

39 CARDINAL LN
MANDEVILLE LA
70471-6758
US

V. Phone/Fax

Practice location:
  • Phone: 985-777-7000
  • Fax:
Mailing address:
  • Phone: 985-773-8887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. FARHAD XERXES ADULI
Title or Position: CEO
Credential: MD
Phone: 985-807-5900