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Individual

DR. NIAZY MAHMOUD SELIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD, MBCHB, FACS

Contact information

Practice address
215 W PRIEN LAKE RD, SUITE A, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271
Mailing address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2002002474
MO
208600000X
Surgery Physician
31350
KS
208600000X
Surgery Physician
E-3815
AR
208600000X
Surgery Physician
Primary
MD207592
LA

Other

Enumeration date
08/19/2006
Last updated
06/11/2024
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