Individual
DR. ABID ULLAH MAHSUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203107
LA
207R00000X
Internal Medicine Physician
90904
GA
207R00000X
Internal Medicine Physician
MD462573
PA
207R00000X
Internal Medicine Physician
ME104781
FL
208M00000X
Hospitalist Physician
Primary
MD.20317
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1889806
—
LA
01
—
4M319F600
MEDICARE - PTAN
LA
Enumeration date
06/01/2007
Last updated
11/26/2025
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