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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIDAL A. MAHGOUB, MD

Active

NIDAL A. MAHGOUB, MD is a Pediatric Hematology-Oncology healthcare provider located in SHREVEPORT, Louisiana. NPI 1215014154 is currently active in the NPPES registry. Verify at CMS.

Pediatric Hematology-Oncology · SHREVEPORT, LA

Registration Details

NPI Number
1215014154
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2006 (19.817140636539 yrs)
Last Updated
Aug 8, 2024
Licenses
342048 (LA)
A49252 (CA)
342048 (LA)

Practice Information

Address
1541 KINGS HWY
SHREVEPORT, LA, 711034228
Browse LA providers · Browse ZIP 71103
Phone
3186260000
Fax
3186294833
Primary Specialty
Pediatric Hematology-Oncology
2080P0207X
Additional Specialty
Pediatric Hematology-Oncology
Additional Specialty
Pediatric Hematology-Oncology

Other Pediatric Hematology-Oncology Providers in SHREVEPORT, LA

Name Credential NPI
MAJED ALDIN JEROUDI M.D. 1154348050
DR. AYOBAMI DAVID OLANREWAJU M.D., MPH, MTROPPAED 1922531771
ALEJANDRA E. ROSALES HERNANDEZ MD 1962925107
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.