MEDICARE: STEVEN H MCMAHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12942R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497799456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN H MCMAHAN M.D.

Provider Business Mailing Address
First Line	:	1900 N 7TH ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-4416
Country	:	US
Telephone Number	:	318-651-7000
Fax Number	:	318-651-7012

Provider Business Practice Location Address
First Line	:	1900 N 7TH ST
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-4416
Country	:	US
Telephone Number	:	318-651-7000
Fax Number	:	318-651-7012

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	03/05/2010

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