Healthcare Provider Details

I. General information

NPI: 1801735014
Provider Name (Legal Business Name): SOFYA SARGSYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 JEFFERSON HIGHWY ACADEMIC CENTER, 1ST FLOOR
JEFFERSON LA
70121
US

IV. Provider business mailing address

1401 JEFFERSON HIGHWY ACADEMIC CENTER, 1ST FLOOR
JEFFERSON LA
70121
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-3260
  • Fax: 504-842-3193
Mailing address:
  • Phone: 747-388-0878
  • Fax: 504-842-3193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: