Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nidal A. Mahgoub, MD

Individual provider Pediatrics Physician · NPI 1215014154

Nidal A. Mahgoub, MD is a Pediatrics Physician in Shreveport, Louisiana. Works from 2 locations. Licensed in California and Louisiana.

Licensed in
CA, LA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 Lawrence Expy, Santa Clara, CA 95051-5173 — (408) 851-1000

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 342048 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 342048 (LA)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence A49252 (CA)

Record details

NPI number1215014154
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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