Individual
MR. POUYA MAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Mailing address
8001 YOUREE DR STE 4007, SHREVEPORT, LA 71115-2302
(318) 212-3821
(318) 212-3825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.323788
LA
208M00000X
Hospitalist Physician
Primary
MD.323788
LA
Other
Enumeration date
05/16/2017
Last updated
07/08/2021
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