SOUTHERN VASCULAR ASSOCIATES LLC NPI 1578942512

NPI Information

SOUTHERN VASCULAR ASSOCIATES LLC is a vascular surgery surgery in Lafayette, LA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOUTHERN VASCULAR ASSOCIATES LLC NPI is 1578942512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

127 QUEENSBERRY DR
LAFAYETTE, LA
ZIP 70508-421
Phone: (337) 356-1252

The provider's authorized official is Racheed Joseph Ghanami .
The authorized official title is Physician and has the following contact phone number (337) 356-1252.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 5/22/2015.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.