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Individual
DR. MICHAEL NASR MANKARIOUS
Active
Individual
DR. MICHAEL NASR MANKARIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28726
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110076724
RR MEDICARE
IA
05
—
2089383
—
IA
01
—
53222
BLUE CROSS
IA
Enumeration date
06/02/2005
Last updated
03/29/2017
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