Agrama, Mahmoud Tayseer

Agrama, Mahmoud Tayseer is an sole proprietor health care provider with primary practice located at 200 Corporate Boulevard Suite 201, Lafayette LA 70508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Agrama, Mahmoud Tayseer can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
200 Corporate Boulevard Suite 201 Lafayette LA 70508
Phone: (800) 893-9698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15519R Louisiana

Profile Details

NPI number 1376506816
LBN Legal business name Agrama, Mahmoud Tayseer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Aug 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376506816 NPPES
Louisiana MEDICAID 1468673

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