Provider Demographics
NPI:1649264334
Name:NAALBANDIAN, ARSHAM NISHAN (MD)
Entity type:Individual
Prefix:
First Name:ARSHAM
Middle Name:NISHAN
Last Name:NAALBANDIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 BAYOU TRACE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-2500
Mailing Address - Country:US
Mailing Address - Phone:318-473-8304
Mailing Address - Fax:318-448-8877
Practice Address - Street 1:1010 BAYOU TRACE DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-2500
Practice Address - Country:US
Practice Address - Phone:318-473-8304
Practice Address - Fax:318-448-8877
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05341R2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1312533Medicaid
LA1312533Medicaid
LA54106B433Medicare ID - Type Unspecified