| Magdouche Medical Llc | |
|
2739 Stone Creek Dr Shreveport LA 71106-8432 | |
| (318) 797-1743 | |
| (318) 797-7599 |
| Full Name | Magdouche Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2739 Stone Creek Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Jihad M El Hayek (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2144052313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magdouche Medical Llc 2739 Stone Creek Dr Shreveport LA 71106-8432 Ph: (318) 797-1743 | Magdouche Medical Llc 2739 Stone Creek Dr Shreveport LA 71106-8432 Ph: (318) 797-1743 |
| NPI Number | 1942632633 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 9537583828 |
|---|---|
| Medicare Enrollment ID | O20200720002139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942632633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | MD.204550 (Louisiana) | Primary |
| Provider Name | Jihad Michel El-hayek |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538354451 PECOS PAC ID: 7012181886 Enrollment ID: I20111114000757 |
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