Individual
DR. ALAY MANSUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814-3894
(423) 492-6100
Mailing address
908 W 4TH NORTH ST, MORRISTOWN, TN 37814-3894
(423) 492-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.067089
IL
207RH0003X
Hematology & Oncology Physician
Primary
72453-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389016
AMERICAN BOARD OF INTERNAL MEDICINE/HEMATOLOGY AND ONCOLOGY
—
05
—
Q043373
—
TN
Enumeration date
07/08/2015
Last updated
12/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us