Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 09164R | LA |
Y | 207RI0011X | Interventional Cardiology | 09164R | LA |
NPI | 1023051372 |
---|---|
Provider Name | Dr. Farhad X Aduli |
First Address | Covington, LA 70433-7208 |
Second Address | Covington, LA 70433-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 06/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1656496 | (05) | LA |
G03888 | (02) | |
P00056509 | RAILROAD MEDICARE PROVIDE (01) |