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ADVANCED NEURODIAGNOSTIC CENTER INC NPI 1164570883


NPI Information

NPI: 1164570883
Provider Name: ADVANCED NEURODIAGNOSTIC CENTER, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2905 KINGMAN ST
METAIRIE, LA
ZIP 70006
Phone: (504) 885-3737
Get Directions

ADVANCED NEURODIAGNOSTIC CENTER, INC is a neurology psychiatry neurology in Metairie, LA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ADVANCED NEURODIAGNOSTIC CENTER, INC NPI is 1164570883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2905 KINGMAN ST
METAIRIE, LA
ZIP 70006-615
Phone: (504) 885-3737
Fax: (504) 885-5507

The provider's authorized official is Simin Mirtaheri .
The authorized official title is President and has the following contact phone number (504) 885-3737.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAP06242LOUISIANANo
22084P2900XPsychiatry & NeurologyPain Medicine201074LOUISIANANo
32084P0800XPsychiatry & NeurologyPsychiatryLOUISIANANo
42084S0012XPsychiatry & NeurologySleep MedicineLOUISIANANo
52085R0202XRadiologyDiagnostic RadiologyLOUISIANANo
62084N0400XPsychiatry & NeurologyNeurologyLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1767164775AOTHERLOUISIANABCBS
2548670743DOTHERLOUISIANABLUE CROSS
35D888MEDICARE PINLOUISIANA
4435707150COTHERLOUISIANABCBS
54391937610OTHERLOUISIANABCBS
61946613MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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