Individual
DR. TAHER MAMDOUH T TAYEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
337755
LA
207RC0000X
Cardiovascular Disease Physician
Primary
337755
LA
207UN0901X
Nuclear Cardiology Physician
337755
LA
Other
Enumeration date
04/10/2017
Last updated
07/20/2023
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