Provider Demographics
NPI:1659941458
Name:SURGERY CENTER LLC NOLA
Entity Type:Organization
Organization Name:SURGERY CENTER LLC NOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-322-7435
Mailing Address - Street 1:2551 METAIRIE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5444
Mailing Address - Country:US
Mailing Address - Phone:504-322-7435
Mailing Address - Fax:504-322-7437
Practice Address - Street 1:2551 METAIRIE RD STE 101
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5444
Practice Address - Country:US
Practice Address - Phone:504-322-7435
Practice Address - Fax:504-322-7437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical