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Contact Information

RUSTIN AJDARI, DPM
1150 ROBERT BLVD STE 190
SLIDELL, LA70458-2064
 Phone: 985-649-0002
 Fax: 985-649-0034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RUSTIN AJDARI · (Male)

NPI Number 1447827951
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/04/2021
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # 332415
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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