Individual provider · Type 1 NPI

Nidal A. Mahgoub, MD

Pediatric Hematology & Oncology Physician · Shreveport, LA

NPI number 1215014154 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Fax (318) 629-4833

Other practice locations

  • 710 Lawrence Expy, Santa Clara, CA 95051-5173 · (408) 851-1000

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X342048 (LA)
Pediatric Hematology & Oncology Physician 2080P0207XA49252 (CA)
Pediatric Hematology & Oncology Physician Primary 2080P0207X342048 (LA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1215014154

Nidal A. Mahgoub, MD's National Provider Identifier is 1215014154, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Shreveport, LA. The record was last updated on Aug 8, 2024.