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Individual

MAJED ALDIN JEROUDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
(318) 698-0035
Mailing address
2032 ELIZABETH AVE DEPT OF, SHREVEPORT, LA 71104-2123
(318) 698-0035
(318) 813-1020

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
11427R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669580
LA
Enumeration date
07/16/2006
Last updated
06/28/2024
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