Individual provider · Type 1 NPI

Tedrick Mangassarian, DO

Student in an Organized Health Care Education/Training Program · New Orleans, LA

NPI number 1851148845 Active

Practice location

2020 Gravier St
New Orleans, LA 70112-2272

Call (504) 568-2577 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1851148845

Tedrick Mangassarian, DO's National Provider Identifier is 1851148845, issued on May 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Orleans, LA. The record was last updated on Dec 17, 2025.