Healthcare Provider Details

I. General information

NPI: 1366439549
Provider Name (Legal Business Name): BREAST CENTER OF ACADIANA, A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 CAMELLIA BLVD STE 100
LAFAYETTE LA
70508-6961
US

IV. Provider business mailing address

935 CAMELLIA BLVD. STE 100
LAFAYETTE LA
70508
US

V. Phone/Fax

Practice location:
  • Phone: 337-504-5000
  • Fax: 337-504-5646
Mailing address:
  • Phone: 337-456-7479
  • Fax: 337-504-5646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHIRAG PARGHI
Title or Position: OWNER/MD
Credential: MD
Phone: 337-504-5000