SOUTHERN VASCULAR ASSOCIATES LLC NPI 1578942512

NPI Information

  • NPI: 1578942512
  • Provider Name: SOUTHERN VASCULAR ASSOCIATES LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 127 QUEENSBERRY DR
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 356-1252

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery205214LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12315617MEDICAIDLOUISIANA
2P01174911MEDICARE PINLOUISIANA

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: 11/21/2025

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