IndividualActive
Nidal Mahgoub, MD
NPI 1215014154 · Pediatric Hematology & Oncology Physician · Shreveport, LA
Provider details
- NPI number
- 1215014154
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 342048 (LA)
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
Mailing address
1541 Kings Hwy
Shreveport, LA 71103-4228
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2024-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.