NPI 1063411361

Mahmoud Daftary, MD

Practitioner Urology Physician Slidell, LA

Practice location

Address: 2750 Gause Blvd. East, Slidell, LA 70461
Phone: (985) 639-3777
Mailing address: 1514 Jefferson Highway, New Orleans, LA 70121

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD.04535R (LA)

Other Urology providers in Louisiana →

Specialist

Other Service Providers Taxonomy 174400000X Licence 04535R (LA)

Other Specialist providers in Louisiana →

Registry record

NPI: 1063411361
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2005
Record last updated: 19 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.