MAJED ALDIN JEROUDI M.D. NPI 1154348050

NPI Information

NPI: 1154348050
Provider Name: MAJED ALDIN JEROUDI, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

Organization: LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH

PECOS Registration: Yes

Address:
1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF HEM/ONC
SHREVEPORT, LA
ZIP 71103
Phone: (318) 813-1100
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Majed Aldin Jeroudi, M.D. is a pediatric hematology-oncology pediatrics in Shreveport, LA with 41 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Majed Aldin Jeroudi, M.D. NPI is 1154348050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF PEDIATRICS, SECTION OF HEM/ONC
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 813-1100
Fax: (318) 813-1020

The NPI 1154348050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	11427R	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5W409F600	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA
2	F56225	MEDICARE UPIN	LOUISIANA
3	1669580	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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