Provider Demographics
NPI:1073723912
Name:MEHMOOD, SYED ADIL (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:ADIL
Last Name:MEHMOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2751 ALBERT L BICKNELL DR
Mailing Address - Street 2:SUITE 5C
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71103-3920
Mailing Address - Country:US
Mailing Address - Phone:318-227-9777
Mailing Address - Fax:318-459-1188
Practice Address - Street 1:2751 ALBERT L BICKNELL DR
Practice Address - Street 2:SUITE 5C
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71103-3920
Practice Address - Country:US
Practice Address - Phone:318-227-9777
Practice Address - Fax:318-459-1188
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2016-01-08
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Provider Licenses
StateLicense IDTaxonomies
CAA108728208G00000X, 208600000X
OK31221208G00000X
LAMD.205166208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery