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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376506816 | NPPES |
| Louisiana | MEDICAID | 1468673 |
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