NPI 1376506816 · live from the CMS NPI Registry
Mahmoud Tayseer Agrama, M.D.
Internal Medicine in Lafayette, LA. National Provider Identifier 1376506816, active.
NPI record
| NPI | 1376506816 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 200 Corporate Boulevard, Suite 201, Lafayette, LA 70508 |
| Practice phone | 800-893-9698 |
| Mailing address | P.O. Box 1403, Broussard, LA 70518 |
| Enumerated | April 7, 2006 |
| Last updated | August 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine primary | 207R00000X | 15519R (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.