Provider Demographics
NPI:1871506048
Name:NEPHROLOGY ASSOCIATES
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDOLAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-888-8717
Mailing Address - Street 1:4424 CONLIN ST
Mailing Address - Street 2:2B
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:807-888-8730
Practice Address - Street 1:4424 CONLIN ST
Practice Address - Street 2:2B
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2147
Practice Address - Country:US
Practice Address - Phone:504-888-8717
Practice Address - Fax:807-888-8730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1793809Medicaid
LA1793809Medicaid