Whalio Doctors

NPI 1164956389

Elizabeth Mortazavi, DO

Practitioner Interventional Pain Medicine Physician Thibodaux, LA

Practice location

Address
602 N Acadia Rd, Thibodaux, LA 70301-4823
Phone
(985) 447-5500
Mailing address
5251 Magazine St, New Orleans, LA 70115-1851

Registered specialties (2)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 333030 (LA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1164956389
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Apr 2017
Record last updated
20 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.