Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A108728 | CA |
N | 208600000X | Surgeon | A108728 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 31221 | OK |
N | 208G00000X | Cardiothoracic Vascular Surgeon | A108728 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD.205166 | LA |
NPI | 1073723912 |
---|---|
Provider Name | Dr. Syed Adil Mehmood |
First Address | Shreveport, LA 71103-3920 |
Second Address | Shreveport, LA 71103-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/01/2016 |