MORTEZA MODABER

LAFAYETTE, LA
NPI1528412368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: LA  328356)
Additional Taxonomies2084V0102X Psychiatry & Neurology, Vascular Neurology
(Licence: LA  328356)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-18
Last Update Date2021-09-03
Business Address
Dr. MORTEZA MODABER M.D.
4811 AMBASSADOR CAFFERY PKWY STE 401B
LAFAYETTE, LA 70508-7265
Phone number: 337-470-4978
Mailing Address
Dr. MORTEZA MODABER M.D.
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0011