Provider Demographics
NPI:1407859929
Name:ZADEH, ABDOLAMIR LEHIMGAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDOLAMIR
Middle Name:LEHIMGAR
Last Name:ZADEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4424 CONLIN ST
Mailing Address - Street 2:STE 2B
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2147
Mailing Address - Country:US
Mailing Address - Phone:504-888-8717
Mailing Address - Fax:504-888-8730
Practice Address - Street 1:4020 PARIS RD
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-1362
Practice Address - Country:US
Practice Address - Phone:504-277-8423
Practice Address - Fax:504-888-8730
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04209R207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4080165OtherAETNA
LA76869OtherCOVENTRY
LA110043311OtherMEDICARE RAILROAD
LA1183725Medicaid
LA76869OtherCOVENTRY
LAB88979Medicare UPIN