Provider Demographics
NPI:1497799456
Name:MCMAHAN, STEVEN H (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:H
Last Name:MCMAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4416
Mailing Address - Country:US
Mailing Address - Phone:318-651-7000
Mailing Address - Fax:318-651-7012
Practice Address - Street 1:1900 N 7TH ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4416
Practice Address - Country:US
Practice Address - Phone:318-651-7000
Practice Address - Fax:318-651-7012
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12942R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1554677Medicaid
LA5E479Medicare ID - Type Unspecified
LAG57053Medicare UPIN