Individual
SHAHID MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11518 N FRONTAGE RD STE A1, YUMA, AZ 85367-8994
(928) 342-6500
(928) 342-6863
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 342-6500
(928) 342-6863
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
69449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221810099
—
ME
Enumeration date
10/25/2005
Last updated
06/13/2024
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