Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Med ED of Louisiana, Inc

Organization Family Medicine Physician · NPI 1114086576

Med ED of Louisiana, Inc provides Family Medicine Physician services in Breaux Bridge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 Champagne Blvd
Breaux Bridge, LA 70517-3700 Not confirmed with CMS for 10 years — call before visiting
Phone: (337) 332-0222
Fax: (337) 332-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 023722 (LA)

Record details

NPI number1114086576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jahanyar Khorsandi — President · (337) 332-0222
NPI enumeratedDecember 8, 2006
Last updated in NPPESDecember 31, 2015
Mailing address209 Champagne Blvd, Breaux Bridge, LA 70517-3700

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