MEDICARE: AMIR HOSSEIN NEJAT

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
1	1223P0700X	Prosthodontics	S929	LA

General Provider Information

NPI Number	:	1144830530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR HOSSEIN NEJAT

Provider Business Mailing Address
First Line	:	1100 FLORIDA AVE # 5473
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2715
Country	:	US
Telephone Number	:	205-253-8459
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 FLORIDA AVE # 5473
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2715
Country	:	US
Telephone Number	:	205-253-8459
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	07/31/2020

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Directions to “ AMIR HOSSEIN NEJAT ” Practice Location

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