# SHAHID MANSOOR, M.D. A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHAHID MANSOOR, MD APMC
- **Other names:** Avoyelles Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710281431
- **Legal business name:** SHAHID MANSOOR, MD APMC
- **Authorized official:** MRS. KRISTA RACHAL (ADMINISTRATOR)
- **Authorized official phone:** (318) 484-3899

## Contact information

- **Practice address:** 501 MEDICAL CENTER DR STE 3A, ALEXANDRIA, LA 71301-8124
- **Practice address phone:** (318) 484-3899
- **Practice address fax:** (318) 484-3887
- **Mailing address:** 338 MOREAU ST STE E, MARKSVILLE, LA 71351-2957
- **Mailing address phone:** (318) 253-7022
- **Mailing address fax:** (318) 253-7944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 13654R | LA | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2011
- **Last updated:** 03/09/2017