Provider Demographics
NPI:1619237484
Name:MARDANI, BABAK (MD)
Entity Type:Individual
Prefix:DR
First Name:BABAK
Middle Name:
Last Name:MARDANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6801 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:BELLAWOOD APARTMENT HOMES, APT # C24
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70003-4420
Mailing Address - Country:US
Mailing Address - Phone:504-444-8348
Mailing Address - Fax:504-988-4762
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:DEPARTMENT OF SURGERY, 8TH FLOOR, RM 8510
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-444-8348
Practice Address - Fax:504-988-4762
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2016-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT55367207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology