Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Med ED of Louisiana, Inc

Organization Family Medicine Physician · NPI 1114086576

Med ED of Louisiana, Inc is a Family Medicine Physician 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
Phone: (337) 332-0222
Fax: (337) 332-1102
Show map & directions

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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