Individual
SAMAR MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2390 WEST CONGRESS STREET, LAFAYETTE, LA 70506-4205
(337) 261-6166
Mailing address
2390 WEST CONGRESS STREET, LAFAYETTE, LA 70506-4205
(337) 261-6166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2668871
—
LA
Enumeration date
04/15/2024
Last updated
10/08/2024
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