Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 312034 | LA |
N | 207YP0228X | Pediatric Otolaryngology | 35.084305 | OH |
NPI | 1538189147 |
---|---|
Provider Name | Ellis M Arjmand |
First Address | New Orleans, LA 70118-5798 |
Second Address | New Orleans, LA 70118-5798 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 03/03/2020 |